便秘外科治疗效果取决于准确的诊断和合适的手术方式，结肠切除手术适用于慢传输型便秘，效果较好；直肠黏膜内套叠、直肠前突可以采用经肛门和阴道修补、PPH和STARR，其确切价值还有待于更多的研究和更长的随访。多学科协作诊治模式有利于便秘的合理治疗。

The controversy and common understanding in surgical treament of constipation        WANG Zhen-jun. Department of General Surery, Beijing Chaoyang Hospital, Beijing 100043, China
Abstrct    The value of surgical treatment of constipation is based on the accurate diagnosis and correct procedure selected. Colectomy is suitable for slow-transit constipation and proved valuable. Rectocele and mucosal prolapse can be treated by surgical repair by anal，vaginal approach，and by PPH,STARRprocedure, the value of such treatment await more studies and longer follow-up.