Anorectal physiology is complex and involves the interaction of multip
le mechanisms. Advances in physiological testing have led to a great d
eal of research, which has increased our knowledge of normal and disor
dered physiology, and modified our therapeutic approach. As a conseque
nce, many concepts in anatomy have been revised. We have reviewed aspe
cts of the anatomy and physiology of the rectum and anus together with
the applications of the new concepts.