Introduction: Hirschsprung’s disease (HD) constitutes a serious developmental disorder of alimentary system resulting in functional obstruction secondary to absence of ganglion cells in distal region of intestinal wall. Inappropriate treatment of the disease entails a risk of life-threatening sequalae including enterocolitis in neonates or failure to thrive with defecation problems in older children. Several creative approaches have been described in the surgical management of Hirschsprung’s disease. Aim of this Study: is to report our experience and initial results of the Transanal Swenson PullThrough (TSPT) technique performed on 35 Hirschsprung patients because there are technical aspects in this operation that differ from the method originally described by Swenson. Materials and Methods: Our study includes 35 patients with HD (22 boys and 13 girls) who underwent TSPT at Ain Shams University Hospitals with an age range between 3 months and 3 years within a time range of 5 years from January 2011 till December 2015. Results: Postoperative complications included anastomotic stricture in 2 patients (5.7 %), enterocolitis in 3 patients (8.5 %), urethral injury in 2 patients (5.7 %),Perianal excoriation in 3 patients (8.5 %) and fecal incontinence in 1 patient (2.8 %). The overall complication rate is 11/35 (31.4 %). There were no anastomotic leaks or bowel obstruction. Defecation rate of 1–3 times per day was noted in 80% (28/35) of cases within six months of surgery and 14.2% (5/35) at 1 to 2 years post surgery. There were no mortalities in the series. Discussion: Dissection of the aganglionic segment was pretty stressful as we were aiming at confining the dissection plane as close to the bowel wall as possible, to avoid injuring thepresacral plexus and anterior structure of the pelvis. Another critical issue was related to the evaluation of the transition zone. We had comparable results and post operative complications with other studies, yet less operative time. Conclusion: Our initial results are really promising. By applying a meticulous dissection strategy, injury to the surrounding structures can be avoided and blood loss can be minimized. So we can conclude that this technique has acceptable short-term outcomes. A long-term follow-up would still be necessary to assess the real impact of the technique on children's wellbeing as they grow up. Key Words: Transanal Swenson pull-through, Hirschsprung disease, one-stage transanal procedure, transanal rectosigmoidectomy, trophic feeding, post-operative encopresis, enterocolitis.