The most common procedures of surgical treatment for slow transit constipation (STC) are total colectomy with ileorectal anastomosis

and subtotal colectomy with caeco-rectal anastomosis. The subtotal colectomy is the main procedure in China. The effective rates of both procedures account for higher than 85%. Colon exclusion

which was only reported by Chinese surgeons

has significant shortages though being applied widely. It needs extensive clinical observation and investigation. Colonic irrigation

ileostomy

and total colectomy with ileoanal anastomosis are not suggested as regular surgeries. For patients with STC

strict conservative treatments should be applied before surgery. Surgery should be applied only when the conservative treatments fail. The patients who combined with psychiatric symptoms need special treatment. If surgery is needed

optimal procedures should be selected cautiously.