OBJECTIVE: We relate a single-center experience in virtual surgical planning to demonstrate interests and perspectives in pediatric urology.METHOD: From 2004 to April 2017, 4 patients were analyzed before intervention at our institution. All pa-tients had undergone a low dose CT scan. The acqui-sition was then treated by a surface rendering software Pre-, per- and post-operative outcome were retrospec-tively collected.RESULTS: 4 patients were operated on from 2004 to April 2017: two for oncological pathologies and two for congenital malformations. Mean age at intervention was 61 months (21-156 months). Two interventions were performed laparoscopically with one conversion. Mean operative time was 135 min (80-180 min). There were no complications. CONCLUSION:3D surgical planning should be man-datory in pediatric urology to perform the safest, the most accurate and effective surgery as possible.