Pediatric ophthalmology, strabismus and neuro-ophthalmology - all three fields require clinicians to spend significant time with the patient. Methodological history taking, good examination techniques under different and difficult situations, excellent observational skills, and fast but at the same time effective collateral thinking backed by strong background knowledge on systemic and genetic disorders, and good judgment forms the basis of good clinical diagnosis. Surgical precision with conscious and continuous thought on the long-term effects on procedures in children and wise selection of surgical options based on the degree of reversibility of effects induced by procedures in children is critical. A more safe than a stylish approach to pediatric eye surgery forms the key for long-term surgical success. Effective communication skills especially in discussing the options in management, conveying the prognosis to parents for pediatric disorders, explaining the patient about the concepts of strabismus and when communicating to patients with some neuro-ophthalmological problems and genetic disorders where treatment is not possible or just on the horizon, forms the key to best patient satisfaction. Pediatric ophthalmology, strabismus and neuro-ophthalmology stand out as an excellent job satisfying subspecialty for the clinician and provide lifelong satisfaction for the patient when practiced with skill, passion and compassion. A good specialist should be adept at skills of general ophthalmology. Fortunately, pediatric ophthalmology allows the clinician to continue to perform all the examination skills learnt as a general ophthalmologist and gives possibilities for more refinement and improvisations in his or her technique. He or she should possess additional knowledge and skills in recognizing systemic conditions and genetic disorders which will have a great impact on the outcome of not only the vision but also life of the children and their family. Emphasis has been placed on the various examination techniques with a focus on pediatric eye disorders, strabismus and neuro-ophthalmology.