 A bowel management program, BMP, is used to treat fecal incontinence and severe constipation in patients with anorectal malformations, her spring disease, spinal anomalies, and functional constipation. It reduces the number of emergency department visits and hospital admissions and improves quality of life. A multidisciplinary team including physicians, nurses, advanced practice providers, coordinators, psychologists, and social workers is necessary for successful implementation of the BMP. Family education is important for postoperative outcomes, prevention, and early detection of complications related to her spring's disease. Telemedicine can be used for patients with a defined anatomy and is associated with high parent satisfaction and decreased patient stress compared to in-person visits. The BMP has proven to be effective in all groups of colorectal patients at a 1- and 2-year follow-up with social continence achieved in 70 to 72% and 78% of patients, respectively, and an improvement in their quality of life. Transitioning care from pediatric to adult services is essential. This article was authored by Elizaveta Bikova, Wendy Jo Svetinov, Mark Aaron Levitt, and others. We are article.tv, links in the description below.