Introduction:             The treatment of fistula in ano, a chronic sepsis of  cryptoglandular   origin is primarily surgical. Morbidity of the treatment is mainly recurrence and incontinence. Aim :  To study  the demographic profile of the patients with fistula in ano, analyze various aspects of fistula ,  to review our experience and postoperative outcome. Material and methods: Prospective observational study conducted  between January  2016  to  August 2018   in surgical gastroenterology department Government Mohan Kumara Mangalam Medical College Hospital, Salem. Fistulectomy , fistulectomy with seton or drainage with scooping for submucous type was done  and results were analyzed. Results : Mean age of the study group was 43 years  and  mean follow up duration was 14 months. Recurrence was noted in three(4.6%) and incontinence was present in four(6.1%) .Conclusion: Fistulectomy  either alone or with cutting seton is a safe procedure  for the treatment of fistula in ano .  Incidence of  incontinence  was more  with recurrent, multiple fistula  in males and anterior fistula in females.