Aim: Anorectal malformations (ARMs) are among the more frequent congenital anomalies in neonates.This study was undertaken to study the various types of anorectal malformations, sex distribution, associated anomalies, mortality and morbidity. Materials and Methods: This is a retrospective study of neonates with anorectal anomalies admitted and treated from Jan 2014 to Dec 2016 (2 years). The data pertaining to the age, sex, type of anomaly, investigations, associated anomalies, management, mortality and morbity was taken and analyzed. Results: A total of 124 patients with ARM were treated of which 82 were males and 42 were females. In males 84.1% had high/Intermediate anomalies and 15.9% had low anomalies whereas in female neonates 16.7% only had high/Intermediate anomalies and 83.4% had low anomalies.Associated defects were found in 46.8% of the patients. Associated defects seen were urogenital, cardiovascular, vertebral, gastrointestinaland limb defects.9 patients had two or more defects associated with ARM. There were 8 deaths, and complications were seen in 18 patients. Conclusions: Anorectal malformations are very common and seen more commonly in males. In males, high anomalies are more common and in females low anomalies are more common. Nearly half of the patients have associated defects and the presence of associated defects is associated with increase in the mortality and morbidity.Complications were more common in patients with high Anorectal malformations.