Abstract： Congenital anorectal malformation(CAM) is one of the most common colorectal diseases in children.Anoplasty has been the only treatment.Because of the fact that anorectal malformation is constantly complicated with congenital defect in the nerve and musculature,postoperative difficulty in defecation is common.Poor long-term quality of life of these affected children is a burden to the children,family,and society.With the advance of modern medicine,emphasizing the functional recovery after anatomical reconstruction of anorectum and conduction of individualized biofeedback training program to improve the defecatory function and long-term quality of life are the new treatment concepts and important progress.Novel methods for the prevention and treatment of CAM are still under exploration.