The case records of 12 mares at the Ontario and Atlantic Veterinary Co
lleges were reviewed to evaluate the success rates of surgical techniq
ues used to repair rectovaginal fistulae. A modified horizontal perine
al technique was used in eight mares; it was unsuccessful in one mare,
but the fistula was subsequently successfully repaired using the same
technique. One rectovaginal fistula that was converted to a third-deg
ree perineal laceration was successfully repaired on the third attempt
, using the suture principles of the modified horizontal perineal tech
nique. A modified transvaginal technique was used in three mares, in t
wo of which it failed; their fistulae were subsequently converted to t
hird-degree perineal lacerations and repaired using a one-stage closur
e. We conclude that the modified horizontal perineal technique is a on
e-stage procedure that is technically easy to perform, results in less
tension on the suture lines, and is effective in modifying poor vulva
r conformation.