The paper investigates the pragmatics elements in therapeutic communication of Buginese traditional healer for children in South Sulawesi, Indonesia. Using the qualitative method, this study explores speech act, implicative, and language politeness strategy in traditional healer´s utterances during treatment process. Observation and interview are used to describe the therapeutic communication of Buginese traditional healer for children in South Sulawesi, Indonesia. The study also examines the effect of traditional healer´s therapeutic communication to the patient and the parent. The result shows that during the treatment process, the traditional healer mostly uses locutionary and illocutionary acts, conversational implicature, and positive face with Buginese politeness pattern. These pragmatic elements are aimed to calm both the patients and the parents, also to educate the parents in terms of herb medication (concocting drugs), good treatment and activities carried out by patient both during home treatment and after recovery.