Effective communication is pivotal in establishing a relationship between doctors, parents/carers, and young children. This is particularly necessary in paediatric surgery where complex medical interventions can cause anxiety and uncertainty in young children and their families. Given the universal appeal and familiarity of LEGO, it offers a playful and non-threatening way to bridge the communication gap that often exists in high-stress medical environments. In paediatric surgery, explaining intricate medical procedures to children and caregivers can be a challenging task. LEGO’s tactile and visual properties provide an opportunity to simplify and clarify these procedures in an engaging, interactive manner. Clinicals are able to construct LEGO based models which may assist with the child’s comprehension of surgeries they may undertake. This can be adjunct to already established communication methods. Additionally, through hands-on activities and role-playing, children are empowered to explore and articulate their concerns, fears, and questions in a more accessible and meaningful way. This interaction not only demystifies the surgical process but also fosters trust and emotional connection between the medical team, the child, and the caregivers. LEGO can serve as a powerful and flexible communication tool that can enhance both. Through the integration of LEGO play into the healthcare environment, this establishes a more collaborative and empathetic approach to patient centered care.