Fear of recurrence is one of the most important psychological experiences in the post-treatment path of pediatric cancer, which can cause concern about the recurrence of the disease and the future, even when the child is medically stable. This fear may be activated by recalling treatment experiences, medical visits, observing physical symptoms, periodic tests, or hearing news related to the disease, and in some children, it manifests itself in the form of anxiety, avoidance, hypersensitivity to physical symptoms, and a decreased sense of security. From the perspective of psycho-oncology, fear of recurrence is a multidimensional phenomenon that is influenced by cognitive, emotional, physical, familial, and environmental factors, and therefore its management requires simultaneous attention to the child's subjective experience and the actual conditions of the disease. Art therapy in this framework can be used as a complementary intervention to facilitate the expression and processing of concerns related to relapse, as children are not always able to verbally express their complex fears about the future, death, medical trials, or the return of cancer. Painting, collage, storytelling, character building, art play, and other creative activities can provide the child with symbolic language to represent their inner experiences in a manner appropriate to the developmental stage. At the beginning of the intervention, the psycho-oncologist should assess the extent and nature of the fear of relapse, the level of cognitive and emotional development, previous experiences of therapy, physical condition, the quality of family relationships, and the child's support resources in order to tailor the artistic activity to his or her individual needs. The main goal of art therapy in this area is not to completely eliminate fear, as some concern about health after experiencing cancer can be understandable, but rather to help the child recognize, express, regulate and manage emotional reactions associated with future uncertainty. The child can express their fear of the recurrence of the disease in the form of an image, story, or imaginary character, and then, with the help of a psycho-oncologist, discuss the meaning of the image, the thoughts that accompany it, and ways to deal with difficult emotions. This process can create a psychological distance between the child and the fear, allowing him to observe and think about the emotion, without necessarily getting overwhelmed by it. Art can also be used to identify sources of safety and support; for example, a child can represent people who help them in times of concern, safe places, or activities that create a sense of calm in the form of images or stories. Such activities can facilitate conversations about coping strategies and strengthen the social support network. The psycho-oncologist can also use art to reconstruct a child's narrative of illness so that the experience of cancer does not remain merely a part of their identity. A child can construct a story about the course of the disease, treatment, abilities, and future, highlighting other aspects of their identity, interests, and abilities in the process. This approach is especially important in the post-treatment period, as back-to-school, social relationships, and daily activities may occur at the same time as concerns about recurrence. Art therapy can provide an opportunity to express concerns about being different, how others look, and the future of education and society, and help the child relate to the experience of the illness alongside other dimensions of their identity. Parental involvement is also important in managing fear of relapse, as parents' concerns about a child's health can directly or indirectly affect their sense of security. Collaborative art activities can facilitate an emotional dialogue between the child and the parent, helping the family communicate more effectively about the child's concerns, hopes, and ways to support the child. However, the psycho-oncologist should be careful that the artistic activity does not become a tool to increase the child's focus on the disease, and it is necessary to strike a balance between processing the experience of cancer and providing the opportunity for a normal life with age-appropriate activities. An important principle in these interventions is to create a safe and non-judgmental environment so that the child does not have to express or create content that he or she is not prepared to face. Also, a child's painting or other artwork based on fixed symbols and stereotypical interpretations should not be seen as a definitive sign of anxiety, depression, or fear of relapse. The meaning of the work should be explored in conversation with the child and in relation to personal history, family circumstances, and clinical evaluation. In terms of clinical application, art therapy can be performed individually or in some situations as a group during follow-up sessions, the back-to-school period, when medical evaluations are conducted, or when anxiety symptoms associated with relapse increase. Activities such as making coping picture booklets, painting sources of strength, storytelling about the future, or creating images related to a sense of security can be used in this process. Despite the existing capacities, this approach faces challenges such as developmental differences in children, different severity of fear of relapse, differences in therapeutic experiences, and heterogeneity of art therapy methods. The limitations of research evidence, differences in measurement tools, and the difficulty of separating the effect of art therapy from other psychological supports are also important research issues. In addition, fear of relapse may be related to real medical factors, so the psycho-oncologist should not reduce the child's concern to a mere psychological issue, and any concern about physical symptoms should be addressed within the framework of appropriate medical care. Future research can more closely investigate the effectiveness of art-based interventions by designing longitudinal studies, using larger samples, and examining outcomes such as anxiety, quality of life, psychological adjustment, and social participation. Also, designing appropriate protocols for the child's age and developmental stage and integrating art therapy with coping skills training, cognitive-behavioral therapy, and family support can provide the ground for more comprehensive interventions. The psycho-oncologist can help the child to convert the fear of relapse into understandable and processed language by purposeful use of art therapy, identify their sources of support and empowerment, and balance between the past experience of the disease and the present life. In this approach, art is not a means to deny the fear or guarantee the absence of relapse, but rather a complementary tool to increase the child's capacity to face uncertainty, regulate emotion, reconstruct personal narrative, and continue living in accordance with his developmental stage.