In simple anal fistula, conventional surgical options are relatively safe and well accepted in clinical practice. However for horseshoe fistula great concern remains about damaging the sphincter, which is quite inevitable following conventional surgical treatment. The aim of this study is to check the efficacy of this new surgical technique in horseshoe fistula i.e Excision of internal opening with prominent tract around, free drainage of horseshoe tract and coring of the external fistula. 20 patients with horseshoe fistula–in– ano were enrolled and all underwent surgery with excision of internal opening and prominent tract around, free drainage of horseshoe tract and coring of external fistula promoting healing with secondary intention with sphincter preservation. The success rate was 100% without any recurrence. There was no complaint of incontinence for flatus or liquid 5months after operation. The pain was minimal, with all patients resuming their normal activities within 72 h of the operation.