Main function of rectum and anal canal is to maintain fecal continence and allow defecation at an appropriate time and place. When patient has the unintentional loss of stool and inability to control bowel movements in socially acceptable situations, we talk about fecal incontinence (FI). This condition leads to distress and social difficulties for affected individuals. Different causes including neurological disorders, gastrointestinal diseases, and pelvic floor dysfunction can lead to FI. The condition is classified into different types: passive incontinence, where individuals are unaware of stool passage, and urge incontinence, characterized by a sudden, strong urge to defecate that cannot be controlled. Diagnosis typically involves a thorough medical history and physical examination and may include imaging studies (transrectal ultrasound and MRI defecography) or anorectal manometry to assess muscle function and rectal sensation. Management strategies range from dietary modifications and pelvic floor exercises to pharmacological treatment and surgical interventions.