Acquired anorectal disorders in children are uncommon, and most can be treated by simple means. They are usually secondary to constipation and/or dysfunctional defecation, and treatment strategies should address this prior to surgical intervention and during follow-up. Surgical intervention required is usually minimal and should always be preceded by an examination under GA before deciding the exact nature of surgical intervention, if any, that is needed. Endoscopy, EUA, and anorectal manometry are useful adjuncts to surgical treatment. The consent process should mention the small and usually transient possibility of fecal incontinence following anorectal surgical procedures.