Gastroschisis (GS) is a congenital anomaly of the abdominal wall that has historically been treated on an emergency basis by primary closure or, in the case of abdominovisceral disproportion, by surgical silo placement. Incidence of GS is increasing worldwide, affecting 4–5/10,000 newborns. Survival has dramatically improved to greater than 90% over the past 6 decades, due to improved techniques to close the abdominal wall defect and advances in neonatal care. Despite these advances, post-surgical care for gastroschisis remains challenging, and gastroschisis is the congenital defect with the longest intensive care unit of stay. Three surgical techniques have been mostly use: primary fascial closure, staged repair with a silo, and „umbilical turban“ or plastic closure. Spring-loaded silos (SLS) or preformed silos have been used as both a salvage technique in patients failing primary closure or as an initial therapy to provide intestinal coverage with definitive closure at a later time. Placement of a SLS has the theoretical benefit of allowing the bowel edema to resolve, allowing partial reduction of the intestine and reduce intraabdominal pressures at the time of definitive fascial closure. Improves splanchnic perfusion resulting in the faster return of bowel function and reduced rates of infection and necrotizing enterocolitis. GS is associated with abnormal intestinal motility and nutrient absorption, both of which gradually improve in most patients. Introduction of enteral feeding is often delayed for weeks while awaiting return of bowel function. During this waiting period, nasogastric decompression and parenteral nutrition are required. When bowel activity occurs, enteral feeds can be started and slowly advanced. Early oral stimulation is recommended to prevent loss of sucking reflex. The presence of complex disease is the most important prognostic determinant for a poor outcome.