Fecal incontinence is a challenging multifactorial condition, which may have a devastating impact on quality-of-life. Fecal incontinence is most common in the elderly, and especially in institutionalized patients, but may also affect younger patients due to chronic bowel conditions. In parous women, fecal incontinence is linked to perineal rupture including anal sphincter injuries - a common complication after instrumental delivery. In most societies, there is a strong taboo surrounding bowel leakage, and those afflicted often feel ashamed and embarrassed and therefore tend to avoid medical consultation. Treatment options depend on the diagnosis and its pathophysiology, why thorough diagnostics are crucial for further management.