Pediatric Interventional Radiology is a specialty with a rapid growth in recent years. This article shows in a summarized fashion an update of the procedures performed in a department dedicated full time to Pediatric Interventional Radiology (IR) in a tertiary pediatric center. For a successful integration of an IR department to a routine practice, it is fundamental to have well trained specialists, an adequate number of cases and collaboration between different specialties to have a multidisciplinary approach to the Patient. Future is promising with the development of new technologies to improve the different imaging modalities and to improve the elements necessary to perform the procedures. We expect more growth of the subspecialty, favoring the use of image guided minimally invasive therapies for the treatment of different pathologic conditions in the pediatric patient.