Background: Pediatric spina bifida patients typically experience neurogenic bowel dysfunction, decreasing bowel continence. Surgical interventions, including cecostomy tubes, are thought to be more effective in maintaining bowel continence. Establishing a place for cecostomy tubes in bowel management plans will improve patient quality of life. Purpose: The goal of this project was to evaluate the frequency of cecostomy tube placement in the clinic?s bowel management program, assess continence after placement, and determine if current practice is aligned with the Spina Bifida Association?s bowel management guidelines.