Pediatric burns account for around 25% of burn cases. Pediatric thermal burns affecting >10% TBSA are usually advised hospitalization. With burns of above 60% TBSA holds a high risk of mortality. Extensive thermal burns especially in toddlers is extremely challenging, due to their low body reserve, risk of hypothermia, metabolic and nutritional disturbances and reduced donor sites, low compliance towards physiotherapy, resulting in significantly high mortality and morbidity. Even extensive pediatric burns could be salvaged with immediate medical attention, coordinated involvement of multidisciplinary team, Aggressive surgical intervention and physiotherapy. This multidisciplinary approach not only prevents death but also allows the patient to return to a near normal life after the incident.