Syncope, defined as the temporary loss of consciousness and postural tone resulting from an abrupt transient decrease in cerebral blood flow, is a common usually benign self-limiting event.However, rarely, it may be the first warning sign of a serious condition including arrhythmias, structural heart disease, or non-cardiac disease.Patients with recurrent syncopal episodes, with syncope during exercise, emotion/stress-induced syncope, syncope resulting in injury, syncope in the driving-age pediatric patient, or syncope in patients with congenital heart disease requires investigation.This presentation presents a differential diagnosis of syncope in children, outlines in detail neurocardiogenic syncope, and gives recommendations on how to evaluatea child with syncope.