Encopresis is a medical condition that is associated with incontinence in children. It leads to frustration and anxiety in both parents and children due to the presenting symptoms and the inability to control elimination patterns. There is overwhelming concern among families that a child with encopresis will be ostracized from peers and will suffer long-term psychological effects. It is therefore important to define encopresis to include the etiology, prevalence, and treatment measures in order to ensure a positive outcome. In addition, as a child enters elementary school, the school nurse plays a vital role in assisting the child to reach educational goals and managing health concerns. This article will guide the reader through the origin and diagnosis of encopresis as well as the principles of management. It will also delineate the school nurse role in managing encopresis in the school setting. (Contains 3 tables.)