Aim: The aim of this study was to evaluate the accessibility of circumumbilical incision for excision of mobile unilocular abdominal cysts and its cosmetic results as compared with other traditional incision in pediatric abdominal surgery. Patients and methods: Twenty patients with mobile unilocular abdominal cysts of different origin were prospectively selected for periumbilical incision for excision of cysts. Preoperative assessment of the cyst was done either by ultrasonography  or CT for assuring of being mobile unilocular cysts and being solitary or multiple. Postoperative assessment of the cosmetic results, length of hospital stay and return to normal activity were done and were significantly different between periumbilical incision and traditional laparotomy incisions. Results:  Periumbilical   incision  is  safe  and  provides  accepted  accessibility  for  mobile unilocular  abdominal  cysts  excision  and  reduces  postoperative  wound  complications  and hospital stay with better cosmetic results