Anal incontinence means inability to control the release of flatus or stool. Fecal incontinence is one of the most feared complications of vaginal delivery. It may be the consequence of sphincter tears, of pudendal neuropat-hy, or of a combination of the two. The prevalence of fecal incontinence varies depending on the population studied. In one population-based, age-stratified postal survey of women aged 30 to 90 years, the prevalence of fecal incontinence (defined as at least monthly loss of liquid or solid stool) was 7.7 percent. At three to six months after vaginal or cesarean delivery, as many as 13 to 25 percent of women report fecal incontinence. However, the prevalence falls to 1 to 6 percent by 12 months. Fecal incontinence has a significant impact on quality of life. Most important cause of incontinence is obstetric trauma in women. The incidence of perineal tear with anal sphincteric defect varies from 1-9% and the incidence of unrecognized sphincter injury may be as high as 18-35%. Pudendal neuropathy is caused by nerve stretch during pushing in the second stage of labor and descent of the fetal head; it may occur even with the first delivery. Risk factors for sphincter injury and pudendal neuropathy include forceps delivery, lar-ge neonatal size, and prolonged second stage of labor. The risk of fecal incontinence must be considered even during the first pregnancy. Routine episiotomy does not prevent sphincter injury and may even predispose to it. Therapeutic management of the women with anal incontinence should be based on underlying etiology. Medical treatment, recommended as initial approach, is rarely effective. Half the women who undergo primary anal sphincter repair have short or long term continen-ce problems. In this study we present a case of anal in-continence due to obstetric injury who was successfully treated using ‘anterior overlapping sphincteroplasty’