Chalazion, also called a chalazion cyst, is a chronic inflammatory granuloma of the lid gland caused by obstruction of the outlet of the lid gland and retention of secretions. The incidence of this disease is higher in children because of the relatively vigorous development of the lid glands. Chalazion on the conjunctival surface presents as a small, green or yellow bean-sized packet on the eyelid with no redness or swelling of the skin and no pain. If the eyelids are turned over, dark red elevations can be found on the conjunctival surface. This child can be operated on through the conjunctival surface of the eyelid by making a small incision in the conjunctival surface and simply scraping out the necrotic and degenerative tissue from the chalazion cavity. The procedure is simple and leaves no scarring of the eyelid. In chalazia on the skin surface, granulation tissue can be seen bulging outward toward the eyelid, and the local skin becomes significantly thinner and even red and broken. This type of chalazion is more complex and if not treated aggressively, the cyst eventually ruptures, leaving a large irregular scar tissue on the skin surface, and a severe defect in the skin surface of the eyelid can cause ectropion of the eyelid. For these chalazia, surgical excision and eyelid skin reshaping is required to minimize the impact of scarring on the eyelid skin. Chalazia is a common condition in pediatric ophthalmology clinics, and parents often hold their children in their arms thinking that a few eye drops will cure them. Once they hear the doctor say that their child needs surgery, they are not mentally prepared and often cannot accept it. Originally, chalazion on the conjunctival surface can be solved by a very simple outpatient minor surgery, and the whole procedure takes only 7 or 8 minutes. If parents are hesitant and delay a few weeks, some children can develop from conjunctival surface chalazia to skin surface chalazia. At this point, the surgery requires general anesthesia and an incision is made through the skin surface, with the possibility of scarring. In this case, the physician will make a lateral incision along the skin texture of the eyelid so that the incision is buried within the eyelid as much as possible. Generally, if the child is not a keloid, it is difficult to find the scar after the wound has completely healed. Some parents are reluctant to operate even if their child has developed a skin surface chalazion, and the local granulation may become infected and break down to drain outside the eyelid on its own. Eventually an irregular scar will form with an uneven surface. It is very unfortunate if this minor problem ends up affecting the baby’s appearance. In fact, we understand that parents love their children and are worried about their children suffering from the surgery. However, we advise parents to be sensible in loving their children and not to regret their unwise choice when the small bean of the baby’s eyelid eventually completes a small scarred eye.