Background: Surgical treatment is considered to be the best therapeutic modality for treatment of low transsphincteric anal fistula. Different surgical methods aim to decrease postoperative recurrence and anal incontinence. The aim of this study was to evaluate the use of ligation of the intersphincteric fistula tract (LIFT) technique in the management of low transsphincteric anal fistula as regards postoperative recurrence, anal incontinence and hospital stay. Patients and Methods: This study included thirty one patients with low transsphincteric anal fistula. They were prospectively randomized into two groups. Group (1) included fifteen patients who underwent the ligation of the intersphincteric tract (LIFT) technique and group (2) included sixteen patients who underwent the traditional fistulotomy procedure. The patients were examined at days 7,10 and 15 and were followed up for eight to thirteen months following surgery. Recurrence was assessed by history, examination and MRI if needed. Anal incontinence was assessed using clinical continence grading (grade a, b, c or d). Results: A total of fifteen patients (14 males, 1 female) were randomized to receive ligation of the intersphincteric tract (LIFT) technique and sixteen patients (14 males, 2 females) underwent traditional fistulotomy procedure. The mean age in both groups were 34.33 ± 6.63, 36.93 ± 5.59 respectively. Postoperative recurrence was more frequent in group (2) than in group (1) (37.5% versus 13.3% respectively). Anal incontinence (which does not necessitate surgical interference) was also more encountered in group (2) than group (1). (25% versus 0%, respectively). Conclusion: LIFT technique may become the gold standard in treating transsphincteric fistulas. As it is a feasible, minimally invasive, cheap and relatively easy procedure, which is safe and effective at the same time.