Background: Effective wound closure is a critical consideration in paediatric surgical procedures, as it facilitates rapid healing, minimizes infection risk, and achieves satisfactory cosmetic outcomes.Cyanoacrylate (CA) tissue adhesives offer an alternative approachto traditional closure methods such as sutures and staples by demonstrating efficacy, reduced infection rates, and improved cosmetic results. Methodology: This is a prospective observational study was conducted over 18 months i.e. from December, 2022 till May, 2024, which included75 paediatric patients undergoing elective surgical procedures. Inclusion criteria covered children under 14 years of age undergoing elective surgery, while exclusion criteria excluded specific conditions. Data collection involved a structured proforma. Statistical analysis employed various measures, including Chi-square test. Results: This study evaluated use of CA glue in surgical incision closure in 75 paediatric patients. The patient population spanned a range of age groups, with the majority aged between 1 year to 5 years andthe mean patient age was 3.07 years. The gender distribution skewed predominantly male at 80% compared to 20% female. The most common surgical procedures were herniotomy, orchidopexy and laparotomy. Incision locations were primarily right inguinal crease, left inguinal crease and right abdominal transverse.Outcomes Post-operative complications were evaluated on days 3, 5, and 10. Cosmetic outcomes were favourable, with 94.7% of patients demonstrating thin scars and 5.3% broad scars. The mean time for incision closure with CA glue was 45.13 seconds, and the mean hospital stay was 5.14 days. Conclusion: Overall, the study shows that CA glue effectively manages paediatric surgical incisions, promoting optimal wound healing, minimizing complications, and ensuring favourable cosmetic outcomes.