Purpose: To contribute to a better diagnostic and morphological management of surgical pathologies in the pediatric environment using ultrasound. Material and methods: This was a mono-centric, retrospective, descriptive and analytical study carried out in the pediatric surgery department of the University Hospital Center of Cocody over a period of four (04) years and six (6) months (January 1, 2016 to June 30, 2020). We proceeded to a sampling of all the patients who had undergone a pediatric ultrasound that met our inclusion criteria. Results: The mean age of the patients was 6.7 years. The age range 0 to 3 years was predominant (36%), followed by the age range 12 to 15 years (25%). There was a male predominance with a sex ratio of 2.03. Musculoskeletal ultrasound was the most represented (50%) with osteoarticular swelling as the main indication (71.6%) followed by abdomino-pelvic ultrasound (42%) with abdominal pain as the main indication (63%); acute bursa was the main indication for genitourinary pathologies (71%). 64% of the ultrasound scans performed were pathological of a great variety divided into 3 large groups: musculoskeletal infections dominated by osteoarthritis (55%), abdomino-pelvic pathologies dominated by appendicular pathologies (53%) and genitourinary pathologies dominated by testicular ectopy (15%). Conclusion: Ultrasound can be considered as a gold standard in the exploration of surgical conditions in children. The practice of pediatric ultrasound requires competent medical staff, the availability of efficient equipment associated with optimal examination conditions adapted to the child.