Of 103 spina bifida 74 patients were reviewed with 19 drop out and 10 deaths. Spina bifida were divided into three types clinically by the appearence, ie, myelomeningocele, meningocele and spina bifida occulta with lipoma or dimple. The orthopedic problems were discussed about the deformities and ability of walking. One third of myelomeningocele have the severe orthopedic problems, although all of the other types of spina bifida are able to walk. But the deformities of the lower extremities were seen in about 50 to 70% in the meningocele and spina bifida occulta with lipoma or dimple.