Essential listening for trainees and experienced colorectal surgeons. Dr Herand Abcarian, Professor of Colorectal Surgery at the Universty of Illinois, USA, and leader in fistula surgery gives a "how I do it" lesson on sphincter saving surgery for fistula, as well as choosing the novel Over The Scope Clip (OTSC) technique as the treatment he'd have for himself. Find out why by listening to the podcast with Giuseppe Gagliardi, Co-Editor in Chief of Techniques in Coloproctology. The OTSC paper can be found at http://bit.ly/2FMoYzS (Short-term outcomes of a novel endoscopic clipping device for closure of the internal opening in 100 anorectal fistulas)