Robotic-assisted laparoscopic surgery has been applied to pediatric surgery, especially for technically challenging reconstructive procedures owing to the improved suturing capabilities over pure laparoscopic techniques when using fine suture material. In this paper, we report the techniques of creating both an appendicovesicostomy and an antegrade continent enema colon tube in a 9-year-old female with a neurogenic bladder and bowel secondary to myelomeningocele.