Abstract: Objective: To investigate the transitional care needs in children with congenital anorectal malformation (ARM), and to discuss the relevant influencing factors, so as to provide evidence for the development of transitional care program. Methods: Totally: 195 ARM children were recruited in Children's Hospital of Chongqing Medical University from December 2015 to July 2016 by convenience sampling methods. We investigated and analyzed the transitional care needs using the self-designed questionnaire. Results: Transitional care needs in children with ARM were high; the average score of total needs was (4.07±0.45). The score of each dimension of transitional care needs and the total score had significant differences in different education level of main caregivers, relationship between main caregivers and the child, parents' occupation, disease classification and disease course (P<0.05). Multiple stepwise regression analysis showed that the main caregivers' education level, disease classification, disease course and parents' occupation had influence on the transitional care needs in children with ARM. Conclusion: Main influencing factors of each dimension of the transitional care needs in children with ARM should be analyzed comprehensively. At the same time, interventions should be taken from the aspects of the comprehensive management of intestinal tract, anus function recovery promotion and health management, considering all the influencing factors on the transitional care needs in children with ARM, to establish effective transitional care plan, prevent complications and improve the quality of life of children and family.