How to set up a perineal clinic

•  All women sustaining obstetric anal sphincter injury should be reviewed at 6–12 weeks postpartum. •  All women with anal incontinence should be offered endoanal ultrasound, anorectal physiology testing and review by a clinician with experience in anal sphincter injury. •  A perineal clinic provides the setting for debriefing and provision of consistent, accurate information from clinicians with a special interest in sphincter injury.Learning objectives:•  To be aware of the benefits of a perineal clinic. •  To learn how to set up a perineal clinic.Ethical issues:•  Should anorectal testing be a routine part of the follow‐up of all women after anal sphincter injury or restricted to symptomatic women? •  Who is responsible for debriefing women sustaining anal sphincter injury?Please cite this article as: Fowler G, Williams A, Murphy G, Taylor K, Wood C, Adams E. How to set up a perineal clinic. The Obstetrician & Gynaecologist 2009;11:129–132.