ABSTRACT Anorectal contortions (ARMs) are among the more regular inherent irregularities experienced in paediatric medical procedure, with an expected frequency running between 1 of every 2000 and 1 out of 5000 live births. Antenatal analysis of a disconnected ARM is uncommon. Most cases are analysed in the early neonatal period. There is a wide range of show going from low peculiarities with perineal fistula having straightforward administration to high oddities with complex administration. Propels in the imaging procedures with progress in information on the embryology, life structures and physiology of ARM cases have refined finding and introductory administration. There has been stamped improvement in endurance of such quiet in the course of the last century. The administration of ARM has pushed ahead from old style strategies to PSARP to insignificant obtrusive techniques. Yet at the same time the waste and urinary incontinence can happen even with a great anatomic fix, basically because of related issues. There has been a change in outlook in way to deal with these patients which includes comprehensive way to deal with the condition of Anorectal contortions with a drawn-out objective of accomplishment of complete waste and urinary self-restraint with astounding personal satisfaction. Keywords: Anorectal malformations; Cloaca; Continence; Imperforate anus.