We perform more than 100 shunts each year, and there are few comorbidities. The infection rate is only 1-2%, which is very low compared to the average of 10%, and patients are discharged successfully. However, after discharge from the hospital, not everything is fine, regular review and maintenance of the shunt is very important. For this reason, we have a special post-operative precautionary note that is given to families upon discharge, some of which we will share. First of all, the fluid reservoir of the head shunt should not be pressed indiscriminately, as this may lead to shunt fracture and shunt pump damage. The skin of small infants is thin, and the protruding part of the shunt pump should not be pressed for a long time, otherwise it may lead to skin necrosis. The incision should not be exposed to water before it grows solid for a month or two after surgery, and should not be impregnated with sweat, and should be kept dry. Some children may develop a subcutaneous bulge after crying, so they should come to the hospital for consultation and treatment. The child who has a pressure regulating shunt installed should be kept away from everything with magnetism, such as home speakers, district magnetic access control system, etc., to avoid pressure changes. Body parts of the shunt is generally buried deeper, if the local is very shallow, the child should be instructed not to play with curiosity. If there are boils and other skin infections on the shunt line, they should be dealt with promptly. There is no problem with sports in general, but children who are especially sports-loving should be careful. Two common points of shunt breakage are one in the neck and one in the rib cage, mainly due to too frequent neck twisting and bending movements. Abdominal maintenance is mainly concerned with gastrointestinal function. If frequent intestinal distension, poor gastrointestinal motility, poor digestion, inability to defecate regularly, or even appendicitis and intestinal obstruction occur, it can lead to shunt blockage and infection. The shunt can also aggravate or induce hernia and syringomyelia, which are simple to handle and can be operated. It should be reviewed regularly, usually at 3 months and 9 months after surgery, and then annually thereafter if the child is doing well. Normal shunts, if well maintained, can last more than 10 years, and 20 years is not uncommon, except that due to height growth, the child’s first shunt needs to be replaced after a short period of time, mostly in the teenage years.