The pathogenesis of irritable bowel syndrome(IBS) is complex and still incompletely known.The current consensus view is that IBS is involvedin abnormal gastrointestinal motility and secretion,visceral hypersensitivity,intestinal infection,psychosocial factors,neurological-immune-endocrine axis and other genetic mechanisms.This article is an review about of the advance in pathogenesis of IBS in recent years.