Colostomy construction is a com­mon surgical procedure in infants with anorectal malformations. There is a general agreement that the best one for these cases is a completely divert­ing left lower quadarnt colostomy. Although low descending colostomy with stomas separated by a suture line has many advantages, it is ac­companied by may complications which are mainly related to the pres­ence of such a suture line adjacent to the stomas. We present the low descending colostomy with stomas separated by intact skin as a new modification to overcome such com­plications. Over a period of 20 months 47 infants with anorectal malforma­tions were initially managed by low descending colostcmy. In 24 the sto­mas were separated by a suture line, while in 23 the stomas were separat­ed by intact skin. Both groups were compared to each other. The results of the second group as regards the operaive time for construcion, early and late complications and operative time for closure proved to be more su­perior than the first group. We con­clude that the low descending colos­tomy with stomas separated by intact skin is simple, easy and safe for cas­es with anorectal malformations.