Fecal incontinence after anal atresia surgery should be reviewed in the hospital as soon as possible, and the cause should be analyzed according to the preoperative examination and the patient’s current specific situation, and then conservative or surgical treatment should be adopted. 1. Conservative treatment: If the patient’s fecal incontinence is not particularly serious and the anal sphincter function is in good condition, conservative treatment measures can be taken for the time being. On the one hand, physical therapy measures such as electrical stimulation of the pelvic floor can be carried out to improve the function of the sphincter. On the other hand, patients should be instructed to carry out anal lifting exercises to stimulate and strengthen the local muscle function, so as to improve the patient’s condition. In the process of treatment, we should pay attention to reasonable diet, eat more easily digested and easily absorbed food, avoid eating some indigestible or stimulating food, ensure good defecation, so as to promote the symptoms to subside. 2. Surgery: If the patient’s fecal incontinence is serious and the anal sphincter is functioning abnormally, surgery can be considered. A contraction ring can be inserted into the anal canal tissue to help defecation, or a smaller ring can be considered to improve fecal incontinence. If the patient’s condition is particularly severe, an abdominal wall fistula can be considered for the time being, and then the fistula can be returned after anal function is restored. In short, after anal atresia surgery fecal incontinence, follow the doctor’s advice to give timely targeted treatment, to avoid causing delays in the condition.