Background : Postoperative complications are known to increase morbidity and patient suffering and to consume health care resources. Prevention of postoperative complications after Posterior Sagittal Anorectoplasty (PSARP) is of importance in order to avoid a prolong ed hospital stay and need for secondary operations. Perineal wound dehiscence is one of the concerns especially in female Ano Rectal Malformation (ARM). Aim : The aim of our study is to compare and analysis of repair of Perineal wound dehiscence of female ARM between primary wound closure against repair of wound by local flap Method s : in t his retrospective as well as prospective s tudy we analysed total 60 cases of female ARM, who were managed by staged fashion, PSARP or ASARP were done after primary diver sion colostomy, followed by complications specially the wound dehiscence was repaired and analysed. The repair of wound dehiscence was done either by primary wound closure or by local tissue flap.