AimHospital readmission is one of indicators used to assess quality of service provided in healthcare. The aim is investigating readmission routes within the workplace in paediatric surgery service during the first 30 days post discharge from Mater Dei Hospital (MDH).MethodA retrospective study of children’s readmissions between October 2017-November 2019 was performed, strictly before the COVID-10 pandemic.Demographics and clinical records including age, gender, pre-existing comorbidities, diagnosis during primary admission and readmission, procedure carried out, ASA grade, length of stay, and outcomes collected.All children re-admitted under a single paediatric surgical firm within 30 days from initial admission to tertiary referral hospital were included.Readmissions were classified into cohortselective and emergency, depending on nature of primary admission. Contributing factors and outcomes were compared.Results935 surgical admissions (221 elective and 714 emergencies) were registered at MDH with an average hospital stay of 3.62 days. Total readmission rate was 1.7% (n=16).25% (n=4) of readmissions were post elective, 75% (n=12) post emergency admission, with an average stay of 4.37 days and no mortalities. 43.7% (n=7) were re-admissions post-surgical intervention.Further surgical interventions were necessary in 25% (n=4) of readmitted patients, remainder (n=12) treated conservatively. From all readmissions, 31% (5/16) had pre-morbid medical conditions prior to the initial admissions. These conditions included: hypertrophic cardiomyopathy, gastro oesophageal reflux disease, epilepsy, and Cerebral palsy with Christianson syndrome.ConclusionPublished reports concerning paediatric surgical readmission rates are limited, challenging healthcare systems. Most readmissions are voidable, so, healthcare workers must provide adequate strategies to decrease morbidity and prevent readmissions.