Objective continence evaluation in children operated for anorectal malformation gives rise to complex sociomedical and ethical problems. Its adequate solution requires the use of high-precision methods for continence capacity assessment. Anorectal manometry is one of them--it enables the adoption of clearcut criteria in estimating the effect of operation, indications for reoperation and the patient's early- and long-term prognosis. The electromanometric examination, included in the comprehensive diagnostic and therapeutic protocol, still remains a procedure indispensable in evaluating the outcome of surgery in congenital anorectal malformations.