Among the operative techniques for correction of anal incontinence the transplantation of small striated muscles, which has to be denervated before, is hopeful. In the conservative treatment biofeedback techniques are of great interest. New diagnostic procedures (combined manometric and electromyographic readings of the anal sphincter pressure) allow a better understanding of the individual type of anal incontinence. There are a lot of technical proposals aimed at overcoming anal incontinence. Among them the free transplantation of autogenous muscle can be regarded as a step in the forward direction. As far as conservative treatment is concerned the biofeedback treatment seems to be of interest.