Background Children with Giant Congenital Melanocytic Nevi (GCMN) carry a great challenge to the pediatric and reconstructive surgeons to cover the widely exposed area after its excision. A variety of treatment options exists for the management of such cases. In this retrospective review of selected group of children had a GCMN of their abdominal walls were managed with implantation of tissue expanders (TE) for staged reconstruction, patients evaluated with respect to complications, general and esthetic patient and parents satisfaction.

Objective Our purpose was to study the feasibility of use tissue expanders in the management of children who had GCMN with special emphasis to the complications and children and their parents satisfaction.

Material and Methods Retrospective data collection of the 12 patient’s charts, operative data of 86 surgical procedures and follow up visits were calculated and analyzed, with. Statistical analysis done using the Student t test, and P<0.05 was considered statistically significant.

Results In a period of 4 years, from 2004 to 2008, the results of using 37 different sizes tissue expanders and 86 operative procedures in a 12 child, 9 boys and 3girls aged from 2 to 12 years with different types of abdominal wall GCMN will be discussed.

Conclusion Tissue expander is a useful and feasible tool for reconstruction of the abdominal wall in cases of GCMN in children. Parents and children satisfaction and body image are generally acceptable.