Abstract: Objective: To discuss the surgical procedures for congenital intestinal atresia,and the factors affecting the prognosis.Methods: The clinical data of 38 cases of congenital intestinal atresia from 1990 to 2009 were retrospectively analyzed.Results: Of the 38 cases of condenital intestinal atresia,5 had duodenor atresia,30 small intestine atresia and 3 colon atresia;7 cases were of septumtype atresia type,28 cases caecum atresia type and 3 cases multiplelevel atresia type.Two cases were complicated with malrotation of intestine and 3 cases with malrotation of intestine.Thirty-four cases were cured and survived,2 died and 2 gave up therapy.The curative rate was 89.47%.Conclusions: Surgical therapy is the only choice for treatment of congenital intestinal atresia.The procedure should be determined according to the position and type of the atresia.The effect and prognosis are influenced by multiple factors.