Fecal incontinence after surgeries for anal atresia is not rare. One of the possible treatment alternatives – adynamic graciloplasty. We present a case of an adult patient to whom adynamic gracyloplasty was performed for fecal incontinence after single attempt of sphincter repair in childhood. There was a symptomatic improvement postoperatively, as confirmed by Wexner and FISI index. Adynamic graciloplasty could be more often used as a treatment option of fecal incontinence in adult patients with history of anal atresia.