Dentistry for children is not difficult but is different from adult. Hence the pediatric dental practice management will also differ from an adult one. With this basic understanding, an efficient & well trained team of staff, an exclusive and well-designed state of the art pediatric dental set up and a positive and patient centric approach; the pediatric dentist can efficiently and comfortably deliver quality dental care to his child patients A pediatric dentist who has just graduated and is looking to establish a dental clinic will have limited knowledge of practice management since it is not taught as a part of the curriculum. While designing a pediatric dental set up, one must keep in mind the ever-evolving needs, trending concepts and designs which must be inclusive of the needs of special children. Infection control measures must be strictly adhered to & if need for any modifications arises like as in case of a pandemic, the necessary changes must be undertaken. Pediatric dentist also needs to keep updated with the current trends in materials, techniques, software & equipment and waste management systems in use.