Pediatric pelvic injuries are rare but serious injuries that account for approximately 0.3–4% of all pediatric injuries and result from high-energy trauma. They differ from adult pelvic injuries in their anatomical, biomechanical, and clinical features. Owing to the developing skeleton, open triradiate cartilage, flexible ligaments, and plastic deformation capacity, the pediatric pelvis can absorb more energy, which may result in pelvic organ injury even in the absence of bony fracture. The main cause of mortality is not pelvic hemorrhage but associated head, thoracic, and abdominal solid organ injuries. In clinical evaluation, physical examination alone may be sufficient in awake and stable patients, whereas imaging is required in hemodynamically unstable patients. Although anteroposterior pelvic radiography forms the basis of initial imaging, computed tomography is regarded as the gold standard in selected cases. Conservative follow-up is preferred for non-displaced stable fractures, whereas surgical treatment is considered for displaced and unstable fractures. Surgical indications include displacement greater than 1 centimetre, open fractures, vertical instability, and associated visceral injuries. In this review, the epidemiology, anatomical features, classification systems, diagnostic approach, treatment options, and long-term outcomes of pediatric pelvic injuries are discussed in light of current literature.