Strabismus is a common condition in ophthalmology, and surgical intervention is a primary treatment approach. However, there is currently a lack of uniform standards and guidelines for the perioperative management of pediatric strabismus in China. To further standardize the preoperative and postoperative management, improve surgical outcomes, and ensure patient safety in clinical practice, the Chinese Association for Pediatric Ophthalmology and Strabismus along with the Pediatric Ophthalmology and Strabismus Group of Chinese Ophthalmologist Association has developed consensus opinions on the perioperative management of pediatric strabismus, based on clinical research from both domestic and international sources, comprehensive reviews of the literature, expert clinical insights, and thorough discussions. The consensus provides guidance for the preoperative assessment and surgical preparation, intraoperative and postoperative complication management, and postoperative follow-ups and care in pediatric strabismus.