Background: Rectovaginal Fistula (RVF) development is a side effect of an underlying illness, wound, or surgical procedure. Although there are several surgical approaches for RVF, including advanced flaps, muscle interposition, plugs, and fistula excision, doing so is challenging and painful. The success rate of surgical repair, on the other hand, ranges from 0 to 80%. Objectives:The study aims to summarize current evidences on prevalence, risk factors and management approaches of rectovaginal fistula. Methods:For article selection, the PubMed database and EBSCO Information Services were used. All relevant articles relevant with our topic and other articles were used in the review. Other articles that were not related to this field were excluded. The data was extracted in a specific format that was reviewed by the group members. Conclusion: The first line of defence against perianal sepsis is drainage and possibly seton placement, which may be the only treatment required. Medical treatments are recommended for both local and distant active Crohn's disease (CD). Repairs frequently fail, necessitating reoperative intervention with acceptable outcomes. It is critical to maintain realistic treatment goals and expectations.