Objective To explore the application value of tele-consultation in pediatrics in grass-roots hospitals.Methods 167 cases of tele-consultation carried out in our hospital from July 2018 to March 2022 were collected,and the case data were retrospectively investigated and statistically analyzed.Results Among these cases,87(52.1%)were critical cases,24(14.4%)were extremely critical cases,48(28.7%)were difficult cases,and 8(4.8%)were general cases.144 cases(86.2%)used remote video consultation,and 23 cases(13.8%)used remote robot bedside consultation.After the consultation,154 patients(92.2%)were cured or improved and discharged,9 patients(5.4%)were transferred to superior hospitals for further treatment,and 4 patients(2.4%)died of disease or their families gave up treatment.Conclusion The variety of tele-consultation methods was conducive to improving the quality of consultation,realizing the local treatment of critically ill and difficult diseases of children,and promoting the construction of pediatric hospital health alliance.