Anorectal and pelvic floor disorders significantly affect quality of life and often remain underdiagnosed. Conditions such as fecal incontinence, chronic constipation, rectal prolapse, and pelvic floor dyssynergia arise from neuromuscular dysfunction, structural abnormalities, or obstetric injury. Diagnostic advances—including anorectal manometry, defecography, and pelvic floor imaging—have improved functional assessment. Treatment approaches range from dietary and behavioral therapies to biofeedback, neuromodulation, and surgical intervention. This topic addresses advances in diagnostic evaluation, multidisciplinary management strategies, and emerging therapies aimed at restoring function and improving patient well-being.