The purpose of this chapter is to highlight the unique characteristics of treating meniscal injuries in children and adolescents. Understanding these specifics is crucial for healthcare professionals as they differ significantly from those in adults. This chapter begins by reviewing the anatomical and embryological aspects of these injuries. This includes a detailed classification of the different types of meniscus tears, including body tears, root tears, and ramp lesions. Certain pediatric conditions, such as congenital malformations, are also discussed. This chapter then considers the challenges of diagnosing and treating such pediatric meniscal tears. Due to the superior healing ability of children, meniscal preservation should always be a priority, and surgical techniques for meniscal repair are beginning to mirror those used in adults. Factors such as knee size, vascularization, and healing potential must, however, be carefully considered in the clinical decision-making process when treating children.