The treatment of pediatric congenital paralytic strabismus should be based on surgical treatment to correct eye position and improve visual function. Pediatric paralytic strabismus is divided into congenital paralytic strabismus and acquired paralytic strabismus. Congenital paralytic strabismus should be treated with surgery as early as possible. It is recommended to bring children to professional eye hospitals to correct eye position and improve visual function through strabismus surgery. Strabismus can cause the child’s eye position to be skewed, which affects the child’s appearance and visual development, and may cause amblyopia, resulting in low vision. It is recommended that children with congenital paralytic strabismus should be seen promptly for evaluation of their condition and treatment as prescribed by the doctor.