Background: Pediatric renal trauma is a common issue, with blunt abdominal trauma being more common in children. Treatment focuses on preserving renal function and minimizing invasiveness. Non-surgical methods, based on clinical, laboratory, and radiographic results, have shown promising results in treating minor kidney injuries. However, the optimal approach for severe kidney damage in children remains a topic of ongoing debate. Methods: Following PRISMA 2020 guidelines, this systematic review concentrated on full-text English literature published between 2014 and 2024. Editorials and review articles that appeared in the same journal as the submission were not accepted without a DOI. A number of websites, including ScienceDirect, PubMed, and SagePub, were utilized to gather the literature. Result: The study looked at more than 1600 publications using reputable sources including Science Direct, SagePub, and PubMed. After it was decided that eight publications needed greater investigation, a more extensive review of the entire literature was carried out. Conclusion: Pediatric renal injury is a common trauma for children, resulting in severe injuries, longer hospital stays, and higher fatality rates. Treatment for these injuries has shifted to non-operative management (NOM), with over 90% success rates. We recommend regular CT scans and minimally invasive surgeries for children with kidney damage. Post-traumatic hypertension is a concern after kidney trauma, and follow-up visits should be conducted for at least one year.