The authors analyze options for intestinal stoma procedures for congenital digestive tract malformations. A primary anastomosis is considered the principal procedure, however, the authors advice against its risky performance. Although a stoma being the ultimate treatment option, indications for stoma procedures should be considered carefully and the procedure should be performed on time, to avoid any potential later pathology development in the anastomosis. The authors compare and critically assess the following principal three types of the stoma procedures: 1. The modified Gross procedure; 2. The Bishop-Koop Roux Y anastomosis; 3. The Santulli-Blanc Roux Y anastomosis. The authors do not favour any of the above and they stress out that for each individual malformation, its own optimal procedure should be selected and performed.