Objective:To observe the clinical efficacy of electroacupuncture at Zusanli and Baliao acupoints on fecal incontinence after complex anal fistula surgery. Methods70 patients with fecal incontinence after complex anal fistula surgery were randomly divided into the treatment group and control group, 35 cases in each group. The control group was treated with electrical stimulation, and the treatment group was treated with electroacupuncture at Zusanli and Baliao acupoints, with a course of 21 days. The clinical efficacy, healing time and recurrence rate were observed. The changes on fecal incontinence score and anorectal pressure were compared.  Results:① A total of 69 patients completed the clinical trial, among 34 cases in the control group and 35 cases in the treatment group. ② The total effective rates were 100% in the treatment group and 97.1% in the control group respectively, and there was no statistically significant difference on the clinical efficacy between the two groups (P>0.05). ③ In both groups, the fecal incontinence score was reduced after treatment compared with treatment before (P<0.05). After treatment, the fecal incontinence score in the treatment group was lower than that in the control group (P<0.05). ④ Compared with treatment before, the resting pressure and systolic pressure of anal canal were both increased in the treatment group after treatment (P<0.05), and only systolic pressure of anal canal was increased in the control group (P<0.05). After treatment, the resting pressure of anal canal in the treatment group was higher than that in the control group (P<0.05). ⑤ The healing time in the treatment group was shorter than that in the control group (P<0.05), and the recurrence rate in the treatment group was lower than that in the control group (P<0.05).  Conclusion:Electroacupuncture at Zusanli and Baliao acupoints in treating fecal incontinence after complex anal fistula surgery shows satisfactory efficacy. Compared with electrical stimulation, it can better improve the clinical symptoms and increase the anorectal pressure, shorten the course of disease and reduce the recurrence rate.