There are over 171 identified food allergens and it is estimated that 8% of children have a food allergy. The purpose of our clinical review is to provide a concise and accessible guide to the diagnosis and management of pediatric food allergies for primary care providers. It is important for clinicians to understand the pathophysiology, epidemiology, diagnostic process, and available therapy so that they can formulate an appropriate treatment plan for their patients. This clinical review article was based upon meta-analyses and expert guidelines as well as primary studies accessed through electronic databases including MEDLINE, CINAHL, and Cochrane Library. The prevalence of food allergies is increasing in the United States and often the presentation of symptoms can be vague and difficult to diagnose. Our article provides patient and provider education as well as emergency actions plans, which are imperative to reducing the emotional and economic burden of this disease.