Introduction: Anxiety among children undergoing surgery has an impact on postoperative outcomes, and is an extremely unpleasant experience for children and their family. To reduce preoperative anxiety art therapy and bubble breaths were tested in this study. Aim: To compare and evaluate the effect of art therapy and bubble breaths on anxiety among children undergoing surgery in selected hospitals. Methods and Material: Quasi-experimental pre-test post-test control group design was adapted. The study was conducted among children undergoing surgery. 90 samples were selected using non-probability purposive sampling and data collection was done using demographic variables and Modified Short State-Trait Anxiety Inventory. Art Therapy __ampersandsignamp; Bubble Breaths were administered to Experimental Group1 __ampersandsignamp; Experimental Group 2 respectively. Both groups received interventions 2 times. Results: Bubble breaths were significantly more effective in reducing anxiety among children undergoing surgery as compared to art therapy. Conclusion: This study concludes that bubble breaths are more effective in reducing pre-operative anxiety and are enjoyable for children of all ages. This is cost-effective and can be included as a preoperative routine for reducing anxiety among children in preoperative period.