Background: The transanal endorectal pull-through operation (TEPT) for Hirschsprung's disease (HD) is relatively new and this makes assessment  of the functional outcome difficult. The aim of this study was to assess the long-term.functional outcome ofTEPT for short segment HD (at Faculty ofMedicine-Zagazig University) and to evaluate its effect on the patients' quality of life. Patients and methods: Fifty-eight patients out of 176 patients who underwent TEPT technique for HD between August 2002 to August 2009 were followed up for at least one year.All patients had aganglionic  segment  that is confined  to the rectosigmoid  area. Long term outcome and quality of life were assessed by interviews with the parents and/or patients using pre-structured questionnaires filled by the attending doctor. Results: Forty-four patients had  satisfactory results  without  complications. Reported postoperative complications included soiling in 11 patients, constipation in 3 patients, incontinence in 3 patients and enterocolitis in 7 patients. According to quality of life scoring criteria, 75.9% of patients had good quality of life and 18.9% had fair quality of life. Conclusion:  TEPT for short segment HD is associated  with gradual  recovery  of stooling pattern and  long  term  normal bowel  function and  good  quality of  life  for  patients.