This study analyzed the impact of the COVID-19 pandemic on pediatric surgical care at a single center in Bangalore, India. The authors compared data from before the pandemic (September 2019-March 2020) to after (October 2020-April 2021). They found significant declines in both elective and emergency pediatric surgeries performed, as well as outpatient visits. Protocols were established for screening and treating COVID-19 positive patients requiring surgical care. The pandemic disrupted pediatric surgery practices and increased hospital stays. It also reduced emergency case volumes, a concern. Overall, the study shows how the pandemic severely affected pediatric surgical services at this hospital in India.