A retrospective review was performed of all flexor tendon injuries which occurred in children less than 16 years of age from 1988-2002. 46 patients ages 2 to 15 (mean age 8.9) were reviewed. Mean follow up was 3 months. 81 flexor tendons were injured. 69 (85%) of injured tendons were primarily repaired within 72 hours, the remainder were delayed primary repairs. 36 patients were treated with early controlled mobilization and 10 patients were treated with plaster immobilization for 3 weeks. Return of Total Active Motion (TAM) was evaluated with the Strickland Formula. 83% had Excellent or Good results (mean TAM 79%). One tendon rupture occurred and one child required tenolysis. Variables such as postoperative regimen and timing of surgery had no significant effect on the final result. Digits in which nerve or arterial repairs were performed showed a slight reduction in mean TAM compared to digits in which only tendon repairs were performed (mean TAM 72.3% vs mean TAM 85.4%, respectively). Also, there was no significant difference in outcome when children less than 6 years of age were compared to those ages 6 to 15. A satisfactory functional result can be expected after primary repair of flexor tendons in children.