Fistula repair surgery can only be atttempted by urologists or gynaecologiste with sufficient experience in treating this pathology. Although often done with the best of intentions, one has to avoid surgery carried out by less experienced ans less skilled surgeons. Some cases of genital fistula are very compls and a second intervention can be required. Even then recurrences are not exception. The quality of post-operative nursing is equaliy important to ensure the success of the therapy. The treatment of genital fistula is not emergeny medecin, this allows us to make a carreful selection of the patients and prepare the patients in optimal conditions.