Narrated by Lizzy Lee, PA-C & Maggie Koenig, FNP-BC, this podcast, a rewind from the 2025 Pediatric Surgery Update Course, delves into crucial updates in Necrotizing Enterocolitis (NEC) management. Leading pediatric surgeons Drs. Augusto Zani, Simon Eaton, & Dan Ostlie discuss diagnostic challenges, highlighting the superior sensitivity of ultrasound over X-rays for early detection of surgical NEC indicators. The panel also debates various surgical interventions, including primary anastomosis versus ostomy, and examines emerging evidence on optimizing recovery outcomes for neonates with NEC.