In this study we present our experience about using a single layer extramucosal-seromusculer (EM-SM) suture technique to construct intestinal anastomosis in children. Between September 1996 and April 1999, we created 51 intestinal anastomosis in 45 patients using a single-layer, EM-SM technique with synthetic absorbable suture (polyglactin or polydioxanone). Conventional bowel preparation was utilised in all enterostomised cases. There were no complications related to the anastomosis. One patient, who was operated for ileal atresia had superficial wound infection. These results are thought that the (EM-SM) technique is easier and reliable as well as the other techniques.