The study aims to assess the etiology,clinical profile and management of left colonic and anorectal strictures.30 patients were included in the study. A retrospective case note review was carried out in kilpauk medical college from January 2017 to December 2019.Out of 30 patients, 24 (80%) patients had anorectal stricture and 6(20%) had left colonic stricture. The most common etiology identified was post surgical anastomotic strictures(53%) .Out of 30,24(80%) patients underwent balloon dilatation . Among 24 patients,12(50%)patients had 1 dilataion,8(33%) patients had 2 dilatations ,3 (12%)patients had 3 dilatation and 1 patient had 4 dilatation.Study shows that left colonic and anorectal stricture was more common in the older age group and most common etiology was post surgical anastomotic stricture.Endoscopic balloon dilatation is an effective management of treating lower GI stricture.