Anorectal malformations (ARMs) remain a significant birth defect with an accepted incidence of approximately 0.2 - 1.2%.1,2 Although major advances have occurred in the management of these children during the last 15 years, ARMs remain a clinical challenge largely because of the significant reconstructive and management aspects involved, many of which are related to faecal and urinary continence and possible sexual inadequacy in later life. South African Journal of Surgery Vol. 43 (4) 2005: pp. 174-175