Inflammatory bowel disease (IBD) remains intriguing and challenging for a pediatrician and the causes remain elusive. Past decades have shown an increasing trend in the number of children diagnosed with IBD, and the treatment modalities and diagnostic aids have advanced significantly with increasing awareness and growing scientific evidence. Treatment has evolved from steroids to biologicals, and a majority of children have been managed aggressively with medical treatment solely. The Indian subcontinent has seen an increasing number of children with IBD, as reported by data from various centers, which is very challenging for clinicians and has led to better sensitization of this conundrum in pediatric practice. This review article aims to offer better clarity and to enrich the knowledge of clinicians who either want to know about the multifaceted presentations of pediatric Crohn\'s disease (CD) or the complexity involving the management of pediatric Crohn\'s disease has intestinal and extraintestinal manifestations and literally can involve anywhere from mouth to anus. This review aims to cover extensively from the incidence to the complications of Crohn\'s disease and the newer evolutions in the treatment.