Stomas of the gastrointestinal tract represent some of the most commonly performed surgical procedures, and most frequent management dilemmas, in the practice of pediatric surgery. The wide variety of congenital anomalies and functional disorders of the intestinal tract encountered by the pediatric surgeon has led to the development of a creative and sometimes unconventional repertoire of options for providing access and decompression of the GI tract at every level. Some of the first surviving patients of decompressive enterostomy operations were children with congenital intestinal obstructions, and over the long history of stomal development by general surgeons treating adults there has been a parallel development of stoma techniques directed at addressing pediatric diseases. Often, the techniques first developed in adults were adapted for children with good results. On occasion, a surgical problem unique to children required a solution that had no corollary in the adult surgical experience, requiring the development of an innovative approach for a rare disease process that did not present a large enough clinical volume to submit new ideas to objective analysis. Over the years, accumulated experience has played a large role in selecting and discarding these techniques. In this chapter, we present an overview of gastrointestinal stoma techniques that have proven to be useful over time and which have been widely adopted as standard options in the care of children with gastrointestinal problems. A number of selected references are also offered for further reading.