Summary This study was conducted at a tertiary care centre of Delhi, to assess the magnitude of SARS-CoV-2 disease and outcome in pediatric surgical inpatients. All the admitted patients were evaluated excluding outpatients and minor procedures. Out of 312 operated patients 2.88% patients were SARS-CoV-2 positive and out of 167 non operative patients 6.58% were SARS-CoV-2 positive. These patients received standard care as per guidelines using standard protective measures and were discharged home. Only one death occurred due to perforation peritonitis with sepsis. The overall prevalence of SARS-CoV-2 in pediatric surgical patients was 4.17% and SARS-CoV-2 positive patients had similar outcomes as compared to non SARS-CoV-2 patients.