Objective To explore the feasibility, operation method, and clinical application value of transumbilical single-port laparoscopic cholecystectomy (TUSP-LC) in treatment for children patients with benign gallbladder diseases. Methods The clinical data of 64 patients with benign gallbladder diseases from June 2009 to June 2011 were analyzed retrospectively. The patients were divided into TUSP-LC group (n=41) and convention three-port LC (CTP-LC group, n=23). The operative time, intraoperative blood loss, conversion to CTP-LC or laparotomy, operative complications, and hospital stay were recorded. The pains were registered at 3,6,12,24,48, and 72h postoperatively using visual analog scale (VAS). The patients were given satisfaction questionnaires with surgery at 6 time points (1 week, 2 weeks, 1 month, 3 months, 6 months, 12 months) during a 12 months follow-up. Results A total of 64 pediatric LCs were performed successfully, no patients were converted to laparotomy. Except for one case of incision infection in the CTP-LC group 〔4.35%(1/23)〕 and one case of incision infection and one case of ecchymoma in the TUSP-LC group 〔4.88% (2/41)〕, no other complications such as bile duct injury, bile leakage, and incision hernia happened, the total complication rate was not significant difference in two groups (P>0.05). The operative time 〔(47.54±18.71) min versus(45.33±10.58) min〕, intraoperative blood loss 〔(18.56±13.34) ml versus (17.28±12.53) ml〕, and hospital stay 〔(1.67±0.36) d versus (1.81±0.38) d〕were not significant differences in two groups (P>0.05). The VAS score was not statisticly significant within 24h in two groups (P>0.05), but which in the TUSP-LC group was significantly lower than that in the CTP-LC group after 24h postoperatively (P<0.05). During a 12 months follow-up, the score of satisfaction in the TUSP-LC group was significantly higher than that in the CTP-LC group (P<0.05). Conclusions TUSP-LC is a safe and feasible method in the children patients with benign gallbladder diseases. It can be performed with the same technical exposure and outcomes as multi-port laparoscopy, with the added benefit of relieving postoperative pain and little no scarring.