Endothelial keratoplasty, particularly Descemet’s stripping automated endothelial keratoplasty (DSAEK), has quickly become the standard of care for adult endothelial dysfunction [1–4]. As long-term follow-up data becomes available and surgeon comfort with the procedure increases, DSAEK is continually being applied to new diseases. Pediatric cases of endothelial dysfunction treated by DSAEK have already been reported for the treatment of bullous keratopathy following cataract surgery and Descemet’s membrane damage due to traumatic birth injury [5, 6]. Pineda et al. [7] reported a single case of attempted DSAEK in a 7-year-old boy with congenital hereditary endothelial dystrophy (CHED) which was converted to penetrating keratoplasty due to poor visualization and difficulty stripping the host Descemet’s membrane. The authors questioned whether DSAEK could be successfully performed for CHED. Mittal et al. [8] recently reported the first successful case of DSAEK in a 19-year-old male with CHED. To date, no successful reports of DSAEK as treatment for CHED in the pediatric age group have been published. In this paper, we report our successful technique and results in performing DSAEK for each eye of an eight-yearold child with CHED.