Sir,I read with interest the study by Shinde et al. on the assessment of nutritional status of patients of congenital pouch colon (CPC) following definitive surgery.[1] Based on employing World Health Organization (WHO) reference standards 2006, Shinde et al., found a significant malnutrition in 53.85%–95.45% of the studied patients. Various markers of malnutrition were detected, including wasting, stunting, underweight, and low mid-upper arm circumference.[1] I presume that these results ought to be cautiously interpreted owing to the presence of the following methodological limitation. In the clinical field, there are many growth standards used to evaluate pediatric anthropometric measurements, notably WHO standards, Center for Disease Control data standards, and national standards. Evaluating different forms of growth standards suggested that the use of country-specific growth standards might describe the growth of children more precisely.[23] To the best of my knowledge, Indian Academy of Pediatrics (IAP) growth standards 2007 were constructed to evaluate the growth of Indian children. I wonder why the authors did not refer to IAP growth standards 2007 to evaluate the growth of the studied cohort rather than the WHO standards 2006. I presume that if Shinde et al. employed IAP standards 2007, the study results might be changed. Recently, growth standards committee of IAP has revised the growth standards for children in January 2015 as India is in nutrition transition, and previous IAP standards 2007 were based on data which are over two decades old. At present, IAP growth standards committee recommends the use of these new standards to replace the IAP standards 2007 in the clinical practice and researches field.[4] Despite the above-mentioned methodological limitation, some sorts of malnutrition and growth faltering are expected to be seen in CPCpatients following surgery, particularly those who have associated comorbidities. Therefore, meticulous monitoring of anthropometric parameters and nutritional status as well as instituting proper nutritional rehabilitation represents critical cornerstones in the management protocol of CPCpatients.