XPathNavigator.PrependChild creates child node at the beginning of child nodes
Imports System Imports System.Xml Imports System.Xml.XPath Public Class MainClass Public Shared Sub Main() Dim document As XmlDocument = New XmlDocument() document.Load("domainBooks.xml") Dim navigator As XPathNavigator = document.CreateNavigator() navigator.MoveToChild("bookstore", "http://www.domain.com/books") navigator.MoveToChild("book", "http://www.domain.com/books") navigator.PrependChild("<pages>100</pages>") Console.WriteLine(navigator.OuterXml) End Sub End Class