Twenty-three major hepatic resections in children are presented. An unusually low number of associated injuries is noted in the trauma group. There was one operative death and complications were limited to five patients. Biliary decompression was not employed. Complications did not include respiratory, renal, or hepatic failure. Gastrointestinal bleeding was not seen. Although debridement seems adequate for subsegmental injuries, anatomic lobectomy must be considered for more severe injuries involving multiple segments of a single lobe.