While faecal incontinence is a common problem, many people may be embarrassed to admit having the condition. An understanding of the various factors that contribute to faecal incontinence can increase nurses’ awareness of potential continence problems. Nurses can assess patients for faecal incontinence, provide valuable information and implement a range of management strategies to support patients and improve their quality of life. This article explains the reasons for incontinence, outlines comprehensive patient assessment and discusses the various treatment options to help patients overcome or manage the problem. The author describes the role of continence advisers and clinical nurse specialists who can offer additional expertise.