Pediatric epistaxis is a common condition. Although most episodes are benign, spontaneous, and self-limiting, they can also be life threatening and alarming. The nose has a rich vascular supply with contributions from the internal and external carotid arteries (ECAs). The internal carotid artery (ICA) system’s contribution to the nasal cavity is via the ophthalmic artery. The ECA system contribution to the nasal cavity is via the facial and maxillary arteries. There are a variety of etiologies for pediatric epistaxis which is tabulated in this chapter. The frequency of pediatric epistaxis is difficult to ascertain. The majority of these cases do self-resolve and do not present to either the general practitioner or emergency department for assessment. A detailed description on assessment of a child with epistaxis and surgery for pediatric epistaxis have been presented in this chapter.