The purpose of a recent study published in the Khirurgiia was to evaluate the results of Rehbein procedure with extra-peritoneal colorectal anastomosis combined with complex conservative treatment in children with secondary megacolon due to chronic constipation. Here, 78 children aged 7 to 12 years with chronic colostasis and resistant to conservative treatment received surgical interventions. These patients were divided into three groups depending on the type of surgery they underwent: group I - colon resection followed by intraperitoneal colorectal anastomosis in 28 patients; group II - open Rehbein procedure in 29 patients; and group III - laparoscopic Rehbein procedure in 21 patients. The findings suggested that the absence of dyspeptic disorders and enterocolitis long after the postoperative period in patients receiving comprehensive treatment enhanced with new additions, was the cause behind improved outcomes. It was stated that the type of surgery should be individualized based on anatomical colon changes and secondary pathological conditions. Furthermore, it was noted that the risk of recurrent chronic constipation was high after colon resection followed by intraperitoneal colorectal anastomosis. The results suggested that Rehbein procedure may be preferred for management of secondary megarectum and megasigma; its laparoscopic technique reduces surgical trauma and requires less postoperative analgesia.