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For patients with fecal incontinence refractory to medical treatment, surgery may be an option. As the surgical intervention is invasive and carries the risk of complications, it is important to assess the efficacy of surgery, the incidence of adverse events, and whether the results of the operation are sustained over time. Implantation/injection of micro balloons, carbon-coated beads, autologous fat, silicone, and collagen. The relative effectiveness of surgical options for treating fecal incontinence is not known. A combination of different surgical and non-surgical therapies may be optimal. When dynamic graciloplasty is successful in curing FI, up to 50% of patients may develop signs and symptoms of obstructed defecation. This is also termed artificial anal sphincter or neosphincter. The usual surgical approach is through the perineum or alternatively via the vagina.

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