Aim of the work: Describe the clinical events of a patient experiencing MT complications following cutaneous hemangioma resection since there is still no clear evidence on how to approach pediatric transfusion as the existing literature is lacking. Methodology: Patient information was obtained from medical records after taking permission. Personal information that has been collected shall not be disclosed prior to consent. Patient's clinical course was mentioned in a chronological order with literature review to show significance of such cases in medical practice. Results: A seven-month-old male who was found to have cutaneous hemangioma that required resection. Along to the clinical course, experienced several complications secondary to a massive transfusion. Conclusion: Massive transfusion management in patients with non-traumatic-related hemorrhage, or surgery-related hemorrhage, is crucial for survival and better outcomes.