Psychological distress in children and adolescents often manifests as somatic symptoms. Both young patients and their parents tend to overfocus on physical complaints while neglecting the core role of psychosocial factors in the onset and progression of these symptoms. This misattribution not only delays the timing of treatment but also leads to adverse consequences: on one hand, it may result in the decline of social functioning such as school refusal and withdrawal of interpersonal functions; on the other hand, family members may be skeptical about the effectiveness of psychiatric or mental health assessments and thus continue to seek examinations for ruling out physical organic lesions, and excessive examinations will increase the economic burden. From the medical perspective, medical institutions such as community health service centers and pediatric departments currently have a low recognition rate of such diseases. There is no unified treatment plan for psychosomatic diseases, and the interval from the onset of symptoms to the initiation of treatment is relatively long. Therefore, this article aims to raise awareness among medical workers, especially those in primary medical institutions, to promote early detection, timely diagnosis, and effective intervention for pediatric psychosomatic disorders.