The problem of condyloma acuminata in prepubertal children seems to be more common today than in the past. Transmission of the etiology virus may occur during delivery, from close family contact, or from sexual encounters. Thirty cases of condyloma acuminata in young children have been reported, to which we add four new cases. This article reviews the 34 cases with regard to age and sex, the nature and location of the lesions, and the mode of transmission of the virus. Various modes of therapy are discussed. Because of the possibility that children with condyloma acuminata have been sexually abused, a thorough medical and social evaluation is essential.