Ｏｂｊｅｃｔｉｖｅ　To improve postoperative care for children we investigated some tertiary general or children's hospitals.　Methods　Questionnaires for postoperative pain management were sent to anesthesia department of 40 hospitals， and 27 hospitals were accepted. We assessed the hospitals' analgesia system and the present situation of pediatric analgesic management including the age scope， the methods and medications， the recipe of patient controlled analgesia（PCA） pump.　Results　88.9% of the analyzed hospitals have applied postoperative analgesia in children， 81.5% in 1 y-3 y younger children， 55.6% in 1 month-12 month infants， but only 25.9% in neonates. More than 80% hospitals have established pediatric analgesia-relevant trainings， analgesia protocols and pain evaluations. However， only 59.3% hospitals have arranged specialized staff to care children's postoperative analgesia， 22.2% have set up pediatric acute pain service team. Intravenous PCA has been applied in all the hospitals， however， epidural PCA utility ratio is 25.9%. Local anesthetics have been widely used for children's postoperative analgesia， including ropivacaine， lidocaine and bupivacaine. Sufentanil， fentanyl and tramadol dominate in opioids. Nevertheless， the utility ratio of non-steroid anti-inflammatory drugs（NSAIDs） and paracetamol is 29.6% and 11.1% respectively.　Conclusions　Postoperative analgesia in children has been widely applied in Chinese tertiary general or children's hospitals， but postoperative analgesia in infants and neonates is poor. It's essential to popularize local anesthetics infiltration， promote more peripheral nerve blocks for postoperative pain treatment in children. Paracetamol，inexpensive and effective with little side effects，should be used as the basic medication for either minor or larger surgeries. NSAIDs should be encouraged to use. The safety of using various opioids for postoperative pain treatment in Children should be closely monitored.