My daughter was born with imperforate anus. she has had corrective surgery, however suffers with chronic constipation and is incontinent due to continuous filling of the rectum. we have tried bowel management. i do not know what to do next.

Find pedi GI doc: Your kid will need to work with a Pedi GI doc and his/her support staff. If incontinence remains an issue they may need to teach her to do scheduled clean outs every morning & wear a diaper during school. Over time some will learn to empty well without an enema, but chronic constipation must be resolved first.

Common post surgery: What you describe is common postsurgery. Please see http://emedicine.medscape.com/article/929904-overview Consult with a pediatric gastroenterologist knowledgeable about this problem, who can manage it. A clinical psychologist may be crucial to diagnosis and treat a problem with her emotional well-being. Be certain that she is protected from bullying at school.