PURPOSE:The aim of the present study is to demonstrate further reconstruction of a double‐gracilis anorectal neosphincter that had been destroyed because of a severe postoperative perineal infection, with necrosis of the distal part of the muscles.METHOD:Each residual gracilis muscle was split longitudinally into two branches, which surrounded the neorectum, one posteriorly and the other one anteriorly, so as to perform a perineorectal double sling.RESULT:Owing to a poor functional result, continence was achieved only by the support of an implantable pulse generator.CONCLUSION:This technique seemed to permit the optimum use of the contractile potential of the residual gracilis muscles, which did not show evidence of defunction‐related or ischemia‐related fibrosis.