Background
Purpose. Improve patient outcomes with extra pararectal sphincter fistula due to the use of the original method of plastic surgical correction.

Material and Methods
Analysis of treatment of 146 patients with extra sphincter fistula rectal. Ligature method was performed in 50 (34.2%) patients (group I). Rectoplasty laterally offset muco- submucosal rectal flap was performed in 50 (34.2%) patients (group II). The proposed method of plastic correction was done in 46 (31.5%) patients (group III). Evaluation of the results of surgical treatment carried out in the early and late (4 years) postoperative periods.

Result
In the early postoperative bleeding diagnosed: Group I - 2 (4.0%), in the II - 3 (6.0%) , in the III - 5 (3.4 %) cases . Festering wounds found operating in the I group 2 patients (4.0%), in the II - 3 (6.0%) in the III - in 2 (4.3%) patients. Minimum average rehabilitation period noted in group III and was 28,1 ± 2,0 days (p