The best management of craniopharyngioma in children remains a controversial subject for pediatric neurosurgeons. The results of a survey completed by 11 pediatric neurosurgeons documenting outcome in 139 children is presented. There were 21 children treated with limited surgery and irradiation with a good outcome in 83%. One hundred twelve underwent an attempt at gross total resection, 30 of whom required irradiation. There was a marked difference in good outcome according to experience of surgeon, 87 vs. 52% in the radical surgery group.