If there are two anal openings, there may be anal malformation, rectovaginal fistula and anal fistula. If it is determined that there are two openings, it is best to go to the anorectal department of a local tertiary care hospital for visual examination of the anus, finger diagnosis of the anus and, if necessary, an MRI examination to clarify the diagnosis. In principle, the treatment should be carried out through surgery, and different treatment methods should be chosen according to the diagnosis, and if necessary, anal molding surgery can be considered. It is also important to eat more fresh fruits and vegetables and less fried food to avoid dry stools.