To review the etiology, diagnosis and available therapeutic options for vesicovaginal fistula.Bibliographic review on diagnosis and treatment of vesicovaginal fistulas.We review the complete diagnostic protocol for vesicovaginal fistulae, as well as the various surgical options available, all of them with high success rates. There is an increasing tendency to early repair instead of delayed. It is important to follow the principles of fistulae closure to achieve success. In cases of complex fistulae the use of interposed flaps allows to have better results.There are few vesicovaginal fistulae not amenable to surgical treatment; to suspect a fistula at the time of diagnosis and an early treatment with a good technique, regardless of the approach, guarantee a high success rate.