Breast augmentation in pediatric population is not commonly performed. Indications for augmentation mammaplasty in pediatric population are breast hypoplasia (unilateral and bilateral), breast deformity in Poland’s syndrome, tuberous breasts, and failure of breast development due to a trauma. Breast surgery for cosmetic reasons is quite controversial, and it is not commonly performed in patients under 18 years of age. These patients require detailed anamnestic and psychological evaluation, thorough physical examination, and precise measurements. Plastic surgeon performed this operation in specific circumstances, and surgical procedure has to be performed with the same principles as in adults. Breast augmentation in pediatric population requires that implants do not violate normal anatomic landmarks. Types of incision, implant selection, and implant placement have to be carefully evaluated with the patient. Pediatric patients with breast augmentation have longer in-hospital staying, and recovery also takes more time compared to adults.