Aims & Objectives: To determine the surgical outcome in terms of fecal incontinence and recurrence rate, in patients with complex fistula in ano managed with a novel technique of dual seton at a tertiary care hospital.Methods: This is a prospective case series of patients presenting with complex anal fistula, managed with double seton from January 2017 to January 2019. Results: Twenty five patients were treated during the study period with the age (mean±standard deviation) of 40.04 ± 8.36 years. In our study, we found 0% incontinence and 0% recurrence rate in 25 patients, treated with the new technique of double seton placement for complex anal fistulae. Conclusion: The double seton technique is a safe, low–cost, novel, precise, and a cost–effective option for the treatment of complex fistulae–in–ano with an excellent outcome, in regards of anal incontinence and recurrence.