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<h4>Objectives</h4> This study aimed to explore experiences of women with anal incontinence following a childbirth injury, and to identify areas of missed opportunities within care they received. <h4>Design</h4> This is a qualitative study involving semi-structured interviews. <h4>Setting</h4> Participants were recruited via five hospitals in the UK, and via social media adverts and communication from charity organisations. <h4>Participants</h4> Women who have experienced anal incontinence following a childbirth injury, either within 7 years of sustaining the injury, or if they identified new, or worsening symptoms of AI at the time of menopause. <h4>Main outcome measures</h4> Main outcomes are experiences of women with anal incontinence following childbirth injury, and missed opportunities within the care they received. <h4>Results</h4> The following main themes were identified: opportunities for diagnosis missed, missed opportunities for information sharing and continuity and timeliness of care. <h4>Conclusions</h4> Anal Incontinence following a childbirth injury has a profound impact on women. Lack of information and awareness both amongst women and healthcare professionals contributes to delays in accurate diagnosis and appropriate treatment.