A personal statistic is presented, on 24 patients with vesico-vaginal fistulae that have been operated. In 15 of the patients the Dittel-Forgue-Leguen procedure was adopted, of transperitoneo-vesical approach, and 14 good results were recorded (93%). The authors suggest that this procedure should be reconsidered, expecially for cases with very large, circular fistulae, in which the vaginal approach is not practicable, and when associated interventions are necessary, such as ureteral reimplantation, enteroplasties for enlarging the bladder capacity, resection of annexes, hysterectomy etc.