Surgery has been used to treat constipation for 100 years, but the number of people who actually need surgical treatment is in the minority. Moreover, surgical treatment has a certain recurrence rate. It is generally believed that surgery should be considered only when strict non-surgical treatment is ineffective, the symptoms seriously affect the patient’s life and work, and the patient has a strong request for surgery. The application of colectomy for the treatment of colonic transmission disorder type constipation should strictly grasp the surgical indications: ① the colon is really non-tension, there is conclusive evidence of delayed passage; ② there is no evidence of outlet obstruction; ③ the anal canal function is normal; ④ there is no obvious symptoms of psychological disorders, such as anxiety, irritability and depression; ⑤ there is no sign of total gastrointestinal motility dysfunction. Surgical options and their efficacy are mainly as follows: 1, total colectomy, ileorectal anastomosis This surgery is a commonly used surgical procedure for the treatment of colonic transmission disorder constipation, and the effective rate is generally between 50% and 100%, with an average of about 83%. Long-term follow-up found that this procedure has more complications, the most common complication is small bowel obstruction, the incidence of which is 12% on average; about 10% of the postoperative recurrence of constipation, and about 1/3 of the patients have uncontrollable diarrhea: some patients also have abdominal pain, abdominal distension and fecal incontinence after the operation. 2, total colectomy, ileocecal pouch anastomosis colon transmission disorder type constipation patients intestinal transmission dysfunction may spread to the rectum, causing rectal emptying dysfunction, should be performed total colectomy, ileocecal pouch anastomosis, the average efficiency of about 80%. So far, this procedure is used in the treatment of colon transmission disorder type constipation cases are still a minority, and no long-term follow-up information; in addition, the operation can also be complicated by anastomotic stenosis, anastomotic fistula, and even fecal incontinence, some patients eventually had to perform permanent ileostomy, so be careful with the application. 3, partial resection of the colon part of the colon transmission disorder constipation patients with intestinal transmission slowdown is limited to the local colon, especially in the left half of the colon, resection of the affected intestinal segments for the treatment of colon transmission disorder constipation, resection should be more than the affected intestinal segments, in order to ensure that the ganglion has a lesion of part of the intestinal segments all be resected, and its effective rate of an average of 69%. There are fewer surgical complications, but postoperative constipation symptoms are prone to recurrence. 4.Colon subtotal resection, cecum-rectum anastomosis Part of the colon transmission disorders type constipation patients with total colectomy will often be complicated by uncontrollable diarrhea, for this reason, the colon transmission disorders type constipation patients with subtotal resection of the colon, cecum-rectum anastomosis, retaining ileocecal flap, in order to reduce the incidence of diarrhea; this operation is only in the cecum, the ascending colon and the rectum are normal function to consider the choice. 5, colon absenteeism without resection of the colon, direct ileo-sigmoid or rectum end side anastomosis The method has the advantages of simple operation, small trauma, fast postoperative recovery, low complication rate, etc., but absenteeism has occurred in neuromuscular lesions of the colon has no significance, the absenteeism of the colon of the long-term changes in the way, such as the emergence of other diseases, such as the possibility of delayed diagnosis and so on has not been conclusively determined. This procedure needs further observation. 6, ileostomy This procedure has the greatest functional damage, the worst postoperative quality of life, generally difficult to accept, in principle, is not used. At present, the treatment of “outlet obstruction type constipation” has been reported at home and abroad, such as: puborectalis syndrome (PRS) is a behavioral disorder in which the puborectalis muscle abnormally contracts or fails to relax during defecation, which is easy to diagnose but difficult to treat. Botulinum toxin (BTX) was ineffective for biofeedback treatment, and 30 units of Botulinum toxin A (BTX-A) were injected into the abnormally contracted puborectalis muscle bilaterally under ultrasound guidance. Voluntary defecation increased from zero to six times per week after treatment. There was a significant symptomatic improvement, and it did not cause overkill or permanent sphincter damage, but reduced the abnormal contraction of the puborectalis muscle and restored normal bowel function. However, since the toxin loses its effectiveness after 3 months, repeated injections are necessary to maintain its efficacy. The commonly used surgical procedures for puborectal muscle spasticity syndrome include puborectal muscle posterior dissection and closed hole endomysium autografting. Immediate results are still satisfactory, with immediate postoperative relief of constipation, but long-term results are less so in a minority of patients. Treatment of anterior rectal prolapse of the rectum anterior dilatation repair surgery to carry out more, although there are a variety of surgical methods, similar efficacy, there does not seem to be too much debate. Intrarectal prolapse also has more surgical methods, in recent years, the development of PPH surgery for the treatment of anterior rectal dilatation and intrarectal prolapse provides a new method, has been reported at home and abroad, but the lack of long-term efficacy follow-up. Notably, many scholars have questioned the surgical treatment of constipation. In particular, some of the patients treated by surgical treatment had insignificant or even ineffective symptom relief, and the symptoms of individual patients worsened after surgery, which confused many surgeons. With the development of science and technology, diagnosis and treatment should be standardized in order to achieve rational examination and treatment and rational use of health resources.