The goal of a new study published in the Jornal de Pediatria was to translate and culturally adapt the Pediatric Eosinophilic Esophagitis Symptom Score PEESS version 2.0 a tool used to assess pediatric eosinophilic esophagitis symptoms reported by patients and or their parents caregivers. Here the Pediatric Eosinophilic Esophagitis Symptom Score was translated through the following stages initial translation back translation and consensus of independent reviewers through the Delphi technique. The pre final version of the PEESS was applied to five patients between 8 and 18 years of age and to ten parents of two to 18 year old patients from an outpatient pediatric gastroenterology service pre test . It was observed that during the translation process no translations presented with difficult consensus in the review process or grammar inconsistencies. During the pre test difficulties in comprehension of some unconventional terms for instance n usea were observed. Adverbs of frequency such as quase nunca were also identified as being of difficult understanding by patients and parents and the substitution by the term raramente was suggested. It was speculated that such difficulties may be inherent to the pediatric age group. Moreover age 8 years or above should be considered adequate for the self reporting of symptoms. From the findings it was concluded that this version may be introduced as a clinical and research tool for the assessment of patients with esophagic disease symptoms. This study highlighted that Pediatric Eosinophilic Esophagitis Symptom Score is a breakthrough in the evaluation of symptoms of pediatric eosinophilic esophagitis since it reinforces the importance of self reporting by patients who experience this disease.