&NA;Many exciting developments have been reported within the past year. Several excellent studies have reviewed the management of the spectrum of benign anorectal disease. This spectrum includes pruritus ani, pilonidal disease, hidradenitis suppurativa, hemorrhoids, and fistulae. In addition, several excellent and valuable series discussed the management of more complex anorectal problems, including perianal Crohn's disease and rectovaginal fistulae. Further progress was reported in the establishment of anal cancer as a sexually transmitted disease. Malignant melanoma, a challenging disease, was reviewed. Additional advances in anorectal physiology include a new technique of manometry and verification of cinedefecography and electromyography as useful tools. In addition, experience with magnetic resonance imaging of the anorectum has been reported. Practical applications of these physiologic investigations included several studies on the surgical treatment of fecal incontinence, chronic constipation, and rectal prolapse. Lastly, new information emerged regarding the anorectal manifestations of acquired immunodeficiency syndrome and their appropriate treatment.Current Opinion in Gastroenterology 1992,8:70‐77