Abstract: Spinal bifida is a congenital neural tube decade , has been described in literature since 19 th centuary . There has been gross development of management of spina bifida in the form of prenatal repair , MOMs trial . Since the introduction of folic acid in primary health care, there is a significant reduction in incidence of spina bifida . In the era where peadiatric neurosurgeons are faced to manage the neonatal and pre natal repair of mmc . we are challenged to mange patients with adult spina bifida with complications, in this advanced neurosurgical era this is rare challenge to face . we described 4 patients with neglected complications of spina bifida , their clinical presentations and management.