Introduction: The aim of our study was to report on our experience in paediatric anaesthesia and describe the difficulties encountered. Patients and Methods: This was a retrospective, descriptive study conducted from 14 August 2024 to 14 August 2025 in the anaesthesia department of the gynaecology and paediatrics unit at Cocody University Hospital. All children aged between 12 hours and 18 years admitted to the operating theatre were included in the study. The parameters studied were epidemiological, anaesthetic and post-operative data. Results: We collected data on 390 patients. The average age of the patients was 9.7 ± 3.4 years (range 12 months to 18 years). The sex ratio (M/F) was 2.8. All patients underwent a pre-anaesthetic consultation and the majority of them were classified as ASA I (75.94%). All anaesthesia was performed by a team of anaesthetists and state-registered anaesthetic nurses (100%). General anaesthesia was the most commonly used technique (71.28%). The average duration of anaesthesia was 30.2 ± 16 minutes (range: 25 to 420 minutes). Analgesic therapy was multimodal. Mortality was 0.51%. Other discharge modalities were admission to paediatric surgery (99.2%) and paediatric intensive care (0.33%). Conclusion: Promoting the training of paediatric anaesthetists and building more hospitals exclusively for children would improve the situation.