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Two regimens of postoperative fluid management are currently used following pyloromyotomy. Both early or delayed feeding have their advocates. The present study reviews 127 infants managed by the early feeding regimen. Although vomiting was common (79%) early discharge (75% within 72 h) was followed by no adverse effects. Weight gain at 7 days was unaffected by postoperative vomiting. Early feeding and early discharge can be achieved without increase in morbidity and may be the preferred method of postoperative management.