​This book constitutes the refereed proceedings of the 8th International Workshop on Perinatal, Preterm and Paediatric Image Analysis, PIPPI 2023, held in conjunction with the 26th International Conference on Medical Imaging and Computer-Assisted Intervention, MICCAI 2023, in Vancouver, Canada, in October 2023. The 10 full papers presented at PIPPI 2023 were carefully reviewed and selected from 14 submissions. PIPPI 2023 workshop complements the main MICCAI conference by providing a focused discussion on the challenges of image analysis techniques as applied to the fetal and infant settings.