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Deals with the repair of vesicovaginal fistulas (WF), a major problem for women after child bearing in many developing countries. Although doing these repairs lies within the range of the rural gynaecologist, training and instruction is very much needed and indispensable; with the help of this manual many women will again be able to live their normal social lives instead of being outcasts because of the smell of urine constantly dribbling down their legs. The main cause of VVF is obstructed labour which is not relieved in time. The author who has carried out a programme of fistula surgery in Nigeria has documented his experience in order to help other surgeons develop a systematic surgical approach.