Leadless pacemakers have gained prominence in the field of pacemaker implantation due to their small size, lack of a pouch, minimal implant trauma, and avoidance of traditional electrode lead wear and fragmentation. However, children, with their distinct physiological characteristics from adults, face unique challenges in terms of implantation pathways, cardiac chamber size, right ventricular target area conditions, pacing ratio, pacemaker lifespan, and future replacement issues. This article provides a brief review of the current status of leadless pacemaker implantation in children, discussing the problems and strategies faced in the implantation of leadless pacemakers in children, with the aim of enhancing the understanding of this cutting-edge technology among peers and promoting the standardized application of leadless cardiac pacemakers in the pediatric field.