Background: Fistula in ano is one of the common anorectal disorders which is defined as an abnormal track connecting the anal canal with perineum. The main objective of the treatment in fistula-in-ano is to minimize recurrence while maintaining anal continence. Present study was aimed to compare ligation of intersphincteric fistula tract versus conventional fistulectomy in management of low fistula in ano at a tertiary hospital.