Between June 1986-1989, 20 children with Hirschsprung's disease were admitted to Göztepe and Bakırköy Social Security Hospitals. All of these patients underwent an extensive anterior resection and colorectal anastomosis. Only in one case rectal myectomy is needed post-operatively. We haven't seen chronic constipation and incontinence. 85 % of the children had regular bowel movements. Two patients had enterocolitis and one patient had enc. tpre- zis after surgery. Although long term results are not available yet, resecting the narrow segment further anally seems to decrease the need for rectal myectomy and anal dilatations.