Pediatric salivary gland neoplasms are a rare disorder but can carry a significant burden. It represents the fourth most common pediatric head and neck tumor, with an incidence that increases with age. Most often benign, salivary neoplasms’ primary site is the parotid in 61% of cases. Hemangiomas and lymphatic vascular malformations account for most of the benign neoplasms, while mucoepidermoid carcinomas and acinic cell carcinomas are the two most common malignancies encountered in the pediatric population. Initial workup is critical for optimized care strategy and patient/family counseling. It includes a physical examination, imaging, and tumor biopsy/FNA. Initial imaging includes a dedicated CT scan, key for accurate evaluation and surgical planning. While the FNA can be performed in the office for a case of solid tumor in a teenager, it will be preferably performed in the OR, as a combined procedure with imaging for a case in a young child. Treatments include surgery to the primary site with neck dissection when relevant. Decision for radiation therapy will depend on both the tumor histology and grading.