Your first appointment may be with your family doctor, primary care provider or gynecologist. After your initial evaluation, you may be referred to a surgeon who specializes in procedures involving the female reproductive system (gynecologic surgeon) or one who specializes in treating conditions of the colon and rectum (colorectal surgeon) to discuss treatment options.To prepare for your appointment:Ask about any pre-appointment restrictions. At the time you make the appointment, ask if there's anything you need to do in advance to prepare for diagnostic tests.Make a list of symptoms you're experiencing. Include any that may seem unrelated to a rectovaginal fistula.Make a list of your key medical information. Include any other conditions you're treating, all past surgeries, and the names of any medications, vitamins, herbal remedies or supplements you're taking.Consider questions to ask your doctor. Make a list, take it with you to your appointment, and make notes as your doctor answers your questions.For a rectovaginal fistula, some basic questions to ask your doctor include:What's causing these symptoms?Are there other possible causes for my symptoms?What kinds of tests do I need? Do these tests require any special preparation?Is this condition temporary or long lasting?What treatments are available, and which do you recommend?Are there any alternatives to your recommended treatment?Will I need surgery?Do you have any brochures or other printed material that I can take with me? What websites do you recommend?Don't hesitate to ask questions during your appointment anytime you don't understand something.