Abstract. : 61 patients aged 3 to 14 years were treated with a diagnosis of postoperative anal incontinence (AI). Gel plastic surgery of the anal canal in patients with postoperative AI is the method of choice and is an alternative to reconstructive plastic interventions. During the operation, the creation of an internal nephosphincter from a bypass muscle coupling is advisable to perform with preliminary stomatization of the colon. The final result is largely determined by the quality and timing of rehabilitation measures in the near and remote postoperative period.