Bowel incontinence affects up to 1 in 12 adults and is more common in women, especially after childbirth or pelvic surgery. It involves the involuntary loss of stool or gas and can be both physically and emotionally distressing. Common causes include pelvic floor muscle weakness, nerve damage, or bowel disorders. Physiotherapy offers effective, non-invasive treatment through pelvic floor rehabilitation, bowel retraining, and lifestyle guidance. With a personalized approach, many individuals experience improved control, reduced symptoms, and a better quality of life.