Background: Kid's body has major ability for remodeling and correcting all of displacement that could happened on fractures.There is many ways for treatment of these fracture,we can put them in tow guidelines: Surgical treatment, conservative treatment. Aim: Comparison between conservative treatment result and result of surgical treatment via ESIN in treatment of midshaft forearm fractures in children, and chose the best method that achieve healing in fast time and with less complications. Methods: the study included 40 kids ,that have been chosen in random way from children that came to the ER and clinics in Alassad and Tishreen university hospitals in time between 2012 and 2017,with age of 9 to 14 years. Results: The results were similar between conservative treatment and surgical treatment via esin according to healing ,time at hospital ,and costs .time to return to daily life is shorter in surgical treatment. complications were found in two methods but there were no effect on the extremity or the child.