Objective : Review analysis of etiology and surgical management of vesicovaginal fistulae (VVF). METHODS: A retrospective study conducted in the Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi. Patients operated for VVF during period from Apr 2006-Sept 2008 were reviewed. Patients presenting with genitourinary fistulae other than VVF were excluded from the study. Symptomatology and demographic causes were noted. Investigations included 3-swab test, IVU, cystoscopy, and examination under anesthesia. Repair and outcome was noted. Results : Most of the patients were young women of childbearing age averaging 31.45 yrs.