Early-onset hidradenitis suppurativa can lead to significant impairments in a patient’s quality of life, especially for children and adolescents, who face challenges related to self-esteem and physical and emotional development. Prioritizing a review of paediatric patients who present with symptoms suggestive of HS can facilitate a timely diagnosis and allow for the initiation of early and effective management, which may limit the potential for long-term physical and psychological comorbidities to develop in the future.