Aim: Our aim of this study was to assess the safety and feasibility of complete one stage correction of high and intermediate imperforate anus in males and to compare it with three- stage procedure. 
Methods: Twenty patients with high and intermediate imperforate anus and divided into two groups (10 for each). Group I: complete one stage posterior sagittal ano-rectoplasty (PSARP). Group II: (retrospective study) three-stage PSARP consisted of colostomy then PSARP and finally closure of colostomy. 
Results: Group I developed wound infections occurred in 2 cases and another one case developed partial wound dehiscence. According to modified Wingspread scoring, there were excellent and good outcomes in 7 cases (70%) but fair and poor outcome in 3 cases (30%). In group II complications developed in all stages as prolapsed colostomy, skin infection, partial skin dehiscence with subsequent incisional hernia. There were 6 cases (60%) have excellent and good outcome but 4 cases (40%) have poor and fair outcome. 
Conclusion: One stage PSARP is a safe and feasible procedure for correction of high and intermediate imperforate anus