Background: Located high in the left hypochondrium, the spleen is a mesodermal intraperitoneal lymphoid organ. The present study was conducted to evaluate surgical treatment of benign splenic lesions in children. Materials & Methods: 56 children with benign splenic lesions of both genders were included. Clinical history, laboratory results, imaging results, surgical procedures, pathological diagnoses, and prognoses were recorded. Imaging results were reviewed to determine the location of the lesion inside the spleen. All cases were managed surgically. Results: Out of 56 cases, 32 were males and 24 were females. Clinical findings were abdominal pain in 26, abdominal mass in 27, skin petechia in 8 and hemolytic anemia with jaundice in 5 patients. Lesion features were focal cystic lesion in upper pole in 13, focal cystic lesion in hilum in 9, focal solid upper pole in 14, focal solid upper hilum in 8 and diffused cystic+ solid upper+ hilum+ lower pole in 12 cases. Pathological diagnoses were vascular malformations in 10, congenital epithelial cyst (CEC) in 29, hamartoma in 3, leiomyoma in 6, lymphangioma in 2, CEC+ hemangioma in 1 and sclerosing angiomatoid nodular transformation (SANT) in 5 cases. Surgery performed was total splenectomy in 30 and partial splenectomy in 26 cases. The difference was significant (P< 0.05). Conclusion: A summary of the different clinical features of benign splenic lesions in children is provided. Vascular malformation and congenital epithelial cysts are the most frequent pathological diagnosis. Both partial and whole splenectomy have good prognoses and low rates of recurrence; if at all possible, the former is recommended to maintain splenic function.