Abstract
Nephroblastoma is one of the most frequent solid tumors in childhood. It is also a classical example of success in oncology achieved by consequent and randomized studies run since mid-XX until now. As systemic treatment is constantly very effective and has not changed markedly since the last 30 years, the development of precise imaging and surgical technique allowed for the introduction of several new operative methods offering intriguing advantages. This paper is based on the literature review limited to the state-of-the-art or corner-stone positions and over 30 years of personal experience of the author. It does not pretend to be a form of a systematic meta-analysis.