Aim: To describe the practice of regional anesthesia (RA) pediatric surgery at the Brazzaville University Teaching Hospital (CHU-B). Patients and Methods: The study was retrospective, observational and cross-sectional over 18 months including all the records of children aged 0 to 16 years operated on by pediatric surgeons under RA, with or without general anesthesia (GA), in the operating room of the CHU-B. Epidemiological, surgical, and anesthetic variables were analyzed using Excel 2016. Results: During the study period, 320 children underwent surgery, 43 of whom were operated on under RA (13.4%). The median age was 5 years, with a range from 2 months to 16 years (quartiles: 3 to 10 years). The sex ratio was 2.07. The main surgical indication was digestive wall surgery (69.8%), followed by urological surgery (30.2%). 81.4% of the surgeries were classified as Altemeier I. 60.5% of the children were classified as ASA 1. Preoperative hemostasis testing was performed in 69.8% of the children. Preoperative preparation was carried out in 11.6% of cases. GA was administered in 83.7% of cases. Caudal block (46.5%) was the most frequently used technique, followed by wall blocks (27.9%). Ultrasound was used in 15 children (34.9%), including one with neurostimulation. Bupivacaine (95.3%) was the most frequently used local anesthetic. We noted five cases of failure block (11.6%). The mean surgery time was 55.6 ± 34.8 minutes. Conclusion: RA is part of the early postoperative rehabilitation strategy. However, it remains very rarely performed at the CHU-B, particularly pediatric surgery.