Present a Clinical Case of Pediatric Nephroblastoma Share patient background, diagnosis, and relevant clinical findings. Review Preoperative Assessment and Planning Discuss key considerations including fasting status, monitoring, and airway evaluation. Outline the Anesthetic Management Strategy Detail induction, maintenance, intraoperative monitoring, analgesia, fluid and transfusion protocols. Evaluate Postoperative Care and Outcomes Describe emergence, pain control, PICU stay, and recovery milestones. Analyze Key Events and Challenges Reflect on intraoperative complications such as bleeding and transfusion needs. Identify Learning Points and Areas for Improvement Highlight successes, challenges, and potential changes for future practice. Integrate Evidence-Based Practice Review relevant literature to support clinical decisions and assess applicability to local practice. Facilitate Open Discussion and Critical Reflection Encourage dialogue on uncertainties, system gaps, and opportunities for research or quality improvement.