Abstract: Objective　To explore the treatment of congenital dumbbell neuroblastoma (NB). Method　The clinical data of 3 congenital dumbbell NB patients presenting with postnatal lower extremity paralysis from April 1990 to May 2014 were retrospectively analyzed. Results　All 3 children were male and the age at admission was 14-53 days. Vertebral laminectomy for decompression and extradural intra-vertebral canal tumor resection were performed in all patients. Then they were confirmed to have NB by pathological examination and had no chemotherapy or radiotherapy after operation. Case 1 underwent retroperitoneal NB transabdominal resection and died 8 months later after the surgery due to hepatic metastasis. In case 2, the parents abandoned any treatment after vertebral laminectomy and was found that the rest of the tumor was regressed spontaneously at five years follow-up. In case 3, there was no amplification of N-myc gene after the surgery, and the retroperitoneal neuroblastoma showed spontaneous regression after 14 months. Conclusions　Vertebral laminectomy for decompression and extradural intra-vertebral canal tumor resection is one of the treatment options for congenital dumbbell NB. For retroperitoneal NB patients without N-myc gene amplification, resection and chemotherapy are not required, but regular follow-up may be scheduled.