The authors have analysed their experience in treating spleen injuries with children in this institution. From 1970 up to 1988, 22 children were operated upon and splenectomy was done in all the children (5 isolated and 17 united spleen injuries), there were 3 autotransplantations of spleen parts in omentum and 1 case of surgical spleen conservation. Only one operated child died soon after the operation because of a polytrauma and shock. Besides local festering there were not recorded any other cases of infection and sepsis with these and other children operated on within last 25 years. A child's injured spleen should be preserved of course but not at the cost of life, if there are no conditions. A child should be given a chance to live even without the spleen.