Deep-seated pediatric brain tumours represent a unique neurosurgical challenge as they are often surrounded by eloquent structures. Minimally invasive surgical resection techniques still represent a complex microsurgical problem. To date, attempts are being made to optimize minimally traumatic options for surgical approaches with an optimal angle of surgical action for the maximum possible radical removal of these tumors and, accordingly, obtaining successful postoperative results. This article is a review of the literature on optimizing surgical access for deep-seated tumors in children.