Pancreas divisum is discussed to define and evaluate criteria for treatment. Selecting candidates for surgery is imprecise since the anatomic anomaly is so prevalent. Endoscopic stenting has been utilized as a therapeutic and diagnostic test. Appraisals of operative results vary depending on length and detail of follow-up. Sphincteroplasty of the dorsal segment is the procedure of choice when the gland is normal--but resection and caudal drainage each have a role, depending on the anatomic and endoscopic findings.