Objectives
Our burn center has an experience of over 30 years and over 17000 pediatric burns treated. Choosing between surgical and conservative treatment can be difficult in many situations. The experience of our center emphasizes some elements that could facilitate the decision and improve the outcome of the patient. Our goal is a fast rehabilitation with minimal sequelae.
Materials and method
Admitted patients were evaluated over the before mentioned extended period of time. The choice of treatment, hospital stay, scars properties were recorded among other particular details. 
Results
The decision to follow either of the two alternatives of treatment is taken according to many parameters such as the general state, patient’s personal history, family history, age, burn surface, depth and severity. No decision can be made in advance; the experience of the center supports this. For each child a unique negotiation for treatment is undertaken.
There is no panacea among the topical used. We have a complex of topical ointments which we use according to many factors such as the local evolution or the general state of the patient. 
The surgical treatment has to be adjusted according to another group of factors such as burn depth, extent, location. 
Conclusion
For the best outcome of the patients it is highly useful reaching the optimal tinge of treatment between the surgical option which includes its specific risks for certain long term complications and adjusted local conservative treatment which may lead to similar results, in a similar time period for certain patients.

5 - Surgical versus conservative treatment in pediatric thermal burns