Aim: The seton technique has long been used with success for the treatment of analfistulas. This technique is recommended in the literature as a method which decreases anal incontinence in fistula surgery. This study aims to retrospectively analyze thelong-term outcomes of anal patients on whom we performed loose seton techniquefor fistula surgery.Patients and Methods: The information of 50 patients with the diagnosis of anorectal fistula on whom loose seton technique was performed at our clinic betweenNovember 2014 and June 2016 were retrospectively reviewed by using the individualfollow-up forms of each patient.Results: Fifty patients were included in the study. The mean follow-up time was 21months. The etiology was crypto glandular abscess in 20 patients, Crohn's diseasein 2 patients and idiopathic in 28 patients. In 23 patients without spontaneous resolution of fistula and incomplete division of internal sphincter muscle fibers underwentcontrolled fistulotomy. Spontaneous resolution of fistula tract had occurred in theremaining 27 patients. In all patients included in the study, complete healing wasachieved and no recurrence, no total incontinans occurred during the 21-month meanfollow-up period.Conclusion: New treatment modalities have emerged for anal fistulas in recentyears. Many studies were performed comparing these modalities to the conventionalmethods and none of these studies showed superiority over the conventional methods. The loose seton procedure is a well-tolerated modality for the treatment of analfistula with low recurrence and incontinence rates during a long follow-up period of21 months.