Pediatric urinary incontinence can have adverse effects on a child′s quality of life and mental health. Traditional treatments, including behavioral therapy and lifestyle interventions, medications, are effective for children with mild to moderate urinary incontinence, but for those with neurogenic urinary incontinence (NUI) due to spinal cord dysplasia, more invasive treatments may need to be considered. Bladder neck suspension (BNS) is a surgical procedure in which the bladder neck and posterior urethra are suspended to the posterior aspect of the pubic bone. It can strengthen pelvic floor support for the bladder neck and posterior urethra, reduce the degree of descent of the bladder neck during increases in intra-abdominal pressure, and thereby lowers the incidence of urinary incontinence. Therefore, BNS is a surgical treatment option for children with NUI designed to strengthen support at the neck position of the bladder to reduce symptoms of urinary incontinence. The authors intend to elaborate on the latest researches of background of pediatric NUI, the historical development and application scope and basic operative techniques of BNS, the application of BNS in children with NUI and its limitations, and comparison of BNS with other surgical techniques for children with NUI.