Paediatric oncology surgeons play a critical role in diagnosing, staging and treating malignant solid tumours. Over the years, a more tailored surgical approach of the primary tumour site and the metastatic disease has been advocated by many solid tumour protocols. In the last few decades, the integration of Minimally Invasive Surgery (MIS) into the surgical practice of paediatric oncology has become increasingly popular. The benefits of MIS are well established in non-oncologic surgery, but the role of MIS in paediatric solid tumours is still emerging and in many cases lacks proper evidence. Ecancer has already published guidelines dedicated to paediatric surgical oncology from experts in the field of childhood cancer, but these guidelines were more focused on open surgery and general knowledge.