This report presents a case study of a 7-year-old boy named Karam who was diagnosed with appendicitis and admitted to a pediatric ward. The report provides an overview of the post-operative nursing care required, emphasizing pain management strategies, such as the use of pain scales and distraction techniques. It highlights the importance of child-centered care, considering the child's physical and cognitive perspectives, and the inclusion of the family in the care plan. The report also addresses communication challenges, particularly the language barrier between Karam's parents and the healthcare team, and suggests strategies for effective communication, including non-verbal cues and the implementation of family-centered care principles. The conclusion reiterates the need for comprehensive care that addresses the child's physical and emotional needs and ensures effective communication with the family to minimize complications and promote a positive recovery experience.