There is no standardized procedure for solid pseudopapillary neoplasm (SPN) of the pancreatic body and tail in children. Recently, an international consensus on precision anatomy for minimally invasive distal pancreatectomy in adults was established. This is the first report of a 12-year-old girl with an incidentally found SPN measuring 7.5 cm in diameter located in the pancreatic tail who successfully underwent an R0 resection by laparoscopic spleen-preserving distal pancreatectomy under the concept of precision anatomy. The implementation of this concept in the pediatric population should facilitate the safe diffusion of MIDP for SPN and other benign or low-malignant tumors in children.