AbstractTo describe a new technique for fistula-in-ano surgery aimed at total sphincter preservation, and evaluate the preliminary results concerning non-healing and intact anal function. A prospective observational study in Twenty fistulain-ano patients treated by ligation of intersphinctericfistula tract (LIFT) technique, from September 2011to April 2012. Fistula-in-ano in eighteen patients healed primarily (90%). There was one non-healing case (5%). The mean healing time was four weeks. None had disturbances in clinical anal continence. The early outcome of the LIFT technique is quite impressive. Results warrant a larger study with longterm evaluation. This technique has the potential to become a viable option for fistula-in-ano surgery