Treatment of ODS as a functional bowel problem is complex and relative. Some patients are severely troubled by inability to defaecate easily, others main concern is urgency, leakage or leakage during sexual intercourse.

Therefore it is vital to decide what the partient really complains of, not what the surgeon can find on examination. Clearly treatment of certain symptoms may entail treatmentIt that is aimed at more than one anatomical abnormality. Iis also vital to understand that it is best to carry out certain procedures in a virgin field, rather than operating on a patient twice, if there is a possibility of recurrent symptoms. There must be an adequate patient understanding of what is the goals of the proposed treatment at all time.