Although clinicians often worry about missing occult brain tumors in children with headaches, most pediatricians fortunately rarely, if ever, encounter such a child; however, all pediatricians routinely encounter children with three common pediatric neurosurgical disorders: (1) macrocrania, (2) the oddly shaped head, and (3) craniospinal developmental malformations (craniospinal dysraphism). These three entities prompt far more referrals to pediatric neurosurgeons and are emphasized in this article.