Background. Gastrostomy is a common procedure in children. We report dates of the comparison two methods of insertion of gastrostomy tubes with using laparoscopy (group I) and open surgery (group II). Materials and methods. Between January 2002 and December 2016, we have performed 90 operations of laparoscopic insertion gastrostomy tubes and 44 operations with using laparotomy. The two groups were compared for patients demographics, operative report and postoperative outcomes. Results.There were no statistical differences in the demographics parameters of patients between the two groups. The mean operative time in Group I was 21.95 min. In contrast, the mean duration of the operation in the Group II was 37.84 min (p<0.05). The mean time to beginning and time of full enteral feeding for patients with laparoscopic approach were shorter in group laparoscopy (8.39 hours vs 19.64 hours; 18.81 hours vs 34.27 hours; p<0.05). Shorter mean postoperative hospital stay were registered in patients after using of laparoscopy I (13.97 days vs 29 days; p<0.05). The reliable difference was found in the analysis of minor postoperative complications (13.33% vs 68.81%; p<0.05). Conclusions. Laparoscopy is a simple and effective method of gastrostomy which provides fast postoperative recovery of patients and allows to reduce number of postoperative complications in small babies.