A modification of the original Soave procedure is described in this paper. Eight patients within the age range 6 months to 14 years at the time of presentation were operated upon. Three of those were referred after trial of conservative treatment for constipation to exclude or confirm Hirschsprung’s disease; in five, transverse colostomy had already been performed. There was no operative mortality but three patients had postoperative complications; namely anal stenosis and subacute intestinal obstruction