Purpose of Review <p>This review aims to provide an updated, comprehensive overview of the current applications, advantages, limitations, and future directions of robotic-assisted surgery in pediatric urology. We sought to address the following key questions: How has robotic surgery evolved in the pediatric urologic population? In what clinical scenarios does it offer clear advantages over open or laparoscopic techniques? What are the limitations, and how can emerging technologies continue to shape the future of pediatric urology? </p> Recent Findings <p>Robotic-assisted surgery has become a widely adopted modality in pediatric urology, particularly for procedures such as pyeloplasty and ureteral reimplantation. It offers several advantages over traditional laparoscopic approaches, including enhanced dexterity, three-dimensional visualization, and improved surgeon ergonomics. Comparative studies have demonstrated reduced postoperative pain, hospital stay, and blood loss as well as favorable cosmetic outcomes compared to open surgeries. However, challenges persist related to patient size, anesthetic considerations, cost, and accessibility.</p> Summary <p>Robotic surgery has emerged as a safe, effective, and often superior alternative to conventional laparoscopic and open techniques in select pediatric urologic procedures. While its adoption has increased significantly, broader implementation is limited by technical, financial, and training-related factors. Continued innovation will be essential to expanding its reach. Future research should focus on long-term outcomes, cost-effectiveness, and refining training pathways to optimize its use in both routine and complex pediatric urologic care.</p>