re-op appearance of a 1 y.o. male with Hirschsprung's disease. This child had a left lower quadrant colostomy with a Hartmann's pouch at birth and was lost to follow up until eleven months of age. The majority of pull-throughs today are done in the neonatal period or in the first few months of life. While less common, a one-year old patient is a good choice for demonstrating the procedure. The patient underwent preoperative enemas and an antibiotic bowel prep.