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The 23rd ESPN Biennial Meeting, which held 1-5 May, 2012 in Amsterdam, the Netherlands, was organized in cooperation with the Japanese, Korean and Brazilian Societies for Paediatric Neurosurgery. Following the latest developments related to pediatric neurosurgical care, the meeting, via a range of interesting discussions with distinguished specialists from different backgrounds, was focused on issues of multidisciplinary interest, such as neuromodulation, trauma, hydrocephalus, dysraphia, peripheral nerve surgery, neuro-oncology, craniofacial malformations, and many more.