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Background Delivering an age-appropriate information resource to improve children and young people’s (CYP) understanding of facial re-animation procedures supports shared decision making and encourages the CYP’s engagement during their admission. Patients present to clinic with varied levels of understanding of the surgery. Parents can struggle to know how much information to share with their CYP. Our quality improvement initiative aimed to provide CYP with a learning tool to support both the patient and family in preparing for surgery.Method We developed two booklets entitled Children’s Facial Palsy Surgery Stage 1 and 2 providing centre- specific information. Two versions of the booklets were developed to meet the needs of the broad age range of our patients. To determine the CYP’s understanding of the procedures, we administered questionnaires pre- and post-delivery of the booklets.Results Over 18 months, every CYP undergoing either first or second stage facial re-animation surgery received a booklet. Twelve patients aged between 4-11 years received Booklets (one Stage 1 booklet and 11 Stage 2 booklets). Three patients aged between 12-17 years old received the second version of the booklet (one Stage 1 Booklet and two Stage 2 Booklets). The average score on the pre-booklet knowledge questionnaire was 60%. After reading the booklet, all patients scored at least 80% on the post-booklet questionnaire.Conclusions Provision of age -appropriate information to CYP undergoing facial re-animation surgery improves knowledge of what to expect before, during and after admission. The questionnaire data also guided the clinicians to address any gaps in knowledge.