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The article presents case studies on the subtotal colectomy through rectal pull-through for idiopathic megacolon treatment in two neutered male cats, one is a 12-year-old Siamese cat and the other is a 7-year-old British short-haired cat, both with recurrent constipation. It discusses the pre-operative treatment before surgery as well as the post-operative treatment. Moreover, the conservative management of recurrent constipation is cited.