Robin Petroze, MD, and Erin Murray, APRN, discuss the role of bowel management programs in pediatric patients with colorectal conditions. They help us to understand the role of a bowel management program in pediatric colorectal conditions. They offer specific approaches to bowel management in patients with anorectal malformations and Hirschsprung disease and they explore surgical options available for pediatric patients with longstanding bowel management needs.