Infantile hemangiomas are characterised by their clinical course with 3 phase: proliferation, then stabilisation .and involution. For a long time, surgery has been limited to correct after-effects following involution. Nevertheless, in selected cases early surgery may be justified. The study was conducted to clarify the indications and evaluation the safety and effectiveness of early surgical treatment for hemangiomas. Results show that 41 hemangiomas were operated. Almost majority are in head and neck region (97.56 percent). The average age was 17 months (7-48 months). In the majority of our patients (92.31 percent) a single operation offered definitive treatment. The postoperative outcomes were very satisfactory: the results were good in 63.89 percent, fair in 33.33 percent, and moderate in 2.78 percent of cases. In conclusion, infantile hemangiomas causing functional disturbance or serious psychological distress deserve surgical excision before the age of expected spontaneous regression; surgery can provide active treatment with good results and minimal morbidity.
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