There is great variation in the management of gastroschisis across the globe and even between surgeons within the same institution. Primary closure rates vary from 16%, particularly in centres where routine use of preformed silos (PFS) have been adopted, to 92%. The majority of staged closure in SSA is undertaken using a surgical silo; PFS are utilised less due to lack of availability and training. Some surgeons recommend primary palliative care in SSA. A randomised control trial of primary closure versus PFS has reported they have similar outcomes, however there is a trend towards fewer ventilator days with the latter. A meta-analysis highlighted that the studies with least selection bias show that PFS is associated with fewer ventilator days (P<0.0001), reduced time to first feed (p=0.04) and lower infection rates (p=0.03).