Obstructive sleep disordered breathing (SDB) and Obstructive Sleep Apnea (OSA) are common in children presenting for otolaryngology evaluation. In the past decade, there have been numerous innovations and advances in the field of pediatric OSA. However, controversies persist regarding the evaluation and management of SDB and OSA in children. Published guidelines from national otolaryngology, sleep medicine, and pediatric societies differ significantly in their recommendations. Thus, it can be challenging for otolaryngologists to determine the most appropriate management strategies for children presenting with SDB. Our primary aim is to identify and discuss controversies in the evaluation and treatment of children with SDB and OSA. Regarding pediatric OSA diagnosis, panelists will debate the utility of home polysomnogram and biomarkers. The following controversial topics related to pediatric OSA management topics will also be included: 1) role of adenotonsillectomy (AT) for primary snoring; 2) optimal drug induced sleep endoscopy sedation protocol 3) utility of DISE at the time of adenotonsillectomy; 4) effectiveness of turbinate surgery in pediatric OSA treatment; 5) role for multi-level sleep surgery at time of AT; 6) AT vs cPAP therapy for treatment of OSA in obese adolescents. The proposed Mini-Seminar will feature a debate among panelists on these topics in a point-counter-point format. Clinical cases will be presented to frame the discussion. Panelists will provide evidence-based “pro and con” arguments for each controversy. To provide the best care to pediatric patients presenting with OSA, otolaryngologists must be familiar with the most up-to-date management options and be able to incorporate the current literature into their practice.