Abstract : Childhood renal disorders are a major cause of morbidity and mortality in developing countries. According to data from hospital-based research, the prevalence of pediatric renal disorders in Asian nations ranges from 1.58% to 7.17%. The inadequate care of acute kidney disease and chronic kidney disease (CKDs) in underdeveloped nations is frequently caused by a delay in diagnosis and a lack of resources. A cross-sectional study was conducted on children (aged 1 month to 12 years) diagnosed with renal diseases at the pediatric nephrology unit in Osmania general hospital for a period of one year (Jan 2022 to December 2022). A study proforma was used to extract information that included demographic characteristics, types of renal diseases, presenting symptoms and signs and histopathological reports and outcomes of management of the renal diseases. Data analysis was done using SPSS software. we recorded an incidence of 2.8% (28 renal cases per 1000 children examined) for kidney illness among hospital admissions. Among 61 cases of Nephrotic syndrome, majority of the cases are belonging to the Minimal change disease a total of 38 cases was reported which is 62.2% of total nephrotic syndrome cases followed by FSGS. NS, CAKUT and urolithiasis were the leading renal disorders in this study. Our study implies that majority of these ailments are treatable.