Aim and objectives: The aim of the study was retrospective comparative evaluation of past 3 years’ pediatric oral lesions diagnosed from the Department of Dentistry, UPUMS, Saifai, Etawah, and classification and identification of pediatric oral lesions on the basis of demographic features and histopathological features. Materials and methods: The present retrospective comparative evaluation was done with the help of the last 3 years’ histopathological reports obtained from the Department of Dentistry, U.P. University of Medical Sciences, Saifai, Etawah. Pediatric patients of age 0–17 years divided in three groups included in the study. Results: In our department, out of total 450 histopathological reports, 56 reports were of pediatric cases in which males were 38 and females were 18. Pediatric patients were further divided into three categories: primary dentition period (0–5 years), mixed dentition period (6–12 years), and permanent dentition period (13–17 years). Conclusion: This retrospective study is an effort for classifying and identifying pediatric oral lesions on the basis of demographic features and histopathological features. The majority of the oral lesions detected were benign in nature.