Nephroblastoma also known as Wilms’ tumour is the most common primary renal maliciousness of childhood. This declaration can be corroborated by studies done in the sub-Saharan Africa, which showed that Wilms’ tumour is the most common childhood maliciousness in Sub-Saharan Africa. Despite being a maliciousness tumour, a survival rate of over 90% is now seen today and this is an evidence of the success of collaborative trials and the use of multimodal therapy. Generally, childhood renal tumours are largely of embryonic origin, with rapidity of growth and a better response to therapy. Wilms’ tumour is also related with a number of recognised syndromes including WAGR, Beckwith-Wiedemann and Denys-Drash syndromes. The most important predictive pointer for Wilms’ tumour is the histological subtype where it is known that epithelial predominant WT demonstrate a favourable prediction. This pattern has been shown to have a low risk of relapse. A rambling anaplastic feature signifies a poor prognosis, and such tumours tend to occur in an older subset of children.