The indications for gastrostomy are well established. According to our experience the main indications for pediatric gastrostomy in Polish sites were neurological disorders, especially cerebral palsy with dysphagia. Malnutrition was reported in most of children before gastrostomy placement. Endoscopic procedure was performed in most cases. More than half of investigated patients were fed via nasogastric tube before gastrostomy placement which makes the mean time of tube feeding prolonged regarding the actual recommendations. The decision for PEG placement should be made individually. In group of patients receiving enteral nutrition via NG the caregivers should consider PEG earlier in the decision making process.