Background:To evaluate association of Vesico Ureteric Reflux in patients with anorectal malformations. Materials and Methods: Retrospective and Prospective study. All neonates who were admitted with Anorectal malformation during the study period. The study period was for two years from January 2019 to December 2020. Results: Vesicoureteral reflux (VUR) is the most common associated urinary tract anomalies with imperforate anus with an incidence of 25%- 60%. VUR is more common in males. More common in babies born at Term gestation. The most common type of ARA (Krickenbeck) that is associated with VUR is Rectovesical fistula. Unilateral VUR is more common. Grade 2 VUR is more common in unilateral, Grade 3 VUR is more common in Bilateral cases. Most of the cases were conservatively managed-19 cases,surgical intervention was done in 11 patients. Bilateral Ureteric reimplantation was done in 3 cases. Unilateral Ureteric reimplantation in 8 cases,Right side -4 cases,Left side -4 cases. Conservative management in 63%. Resolution (partial+complete) was seen in 21 Renal units