The birth prevalence of anorectal malformations (ARMs) has been reported as 1:1,500 - 1:5,000 in South Africa. In institutional publications from around SSA, caseload varies from 1-3 cases/ month. ARMs are one of the most common neonatal emergencies presenting to hospitals in SSA: 9.5% surgical neonates in Tanzania, 13.4% congenital malformations in Nigeria.