Molar Incisor Hypomineralization (MIH) describes the hypomineralization of systemic origin frequently affecting the incisors along with the first permanent molars. The depth and the color of the opacities seen in the anterior region and their treatment would vary according to the cooperative ability and the age of the child.. Some children undoubtedly suffer profound negative psychosocial impacts from having visible enamel opacities. These have serious aesthetic problems requiring treatment and children who express concern should therefore be offered timely interventions. The aesthetic management in mixed-dentition is initiated as minimally invasive approach by reinforcing and protecting the existing structure. The challenges involved in treating children affected with MIH include behaviour management, addressing anxiety and providing pain-free conditions. There is a lack of evidence for management of such defects in the anterior teeth, especially in mixed dentition period. The purpose of this paper is to describe the aesthetic management and to present a sequential approach.