Pediatric thyroglossal cysts are recommended to be completely removed along with the fistula if tolerated by the child to avoid postoperative recurrence. Thyroglossal cysts are a common congenital disease of the neck and are associated with abnormal development of the thyroglossal duct during embryonic development. Thyroglossal cysts have a certain chance of becoming cancerous. If the child is still young and asymptomatic, surgery can be performed without urgency, but attention should be paid to observation, and if there is any abnormality, the patient should go to the local hospital for consultation. For symptomatic children, surgery can be performed after 2 years of age. Thyroglossal cysts can be infected, and if an abscess is formed, it should be incised and drained first, and then operated when the acute inflammation subsides (about 2~3 months later) and a long lasting fistula is formed.