Background: Several factors influence the occurrence of genito-anal injuries in sexual assault victims. The occurrence of injuries aids in the future laying of accusations against the accused, making forensic examination, documenting of injuries, and report preparation difficult for healthcare personnel.

Aim: To find out the pattern of genito-anal injuries and the circumstances that lead to charges being filed against the accused.

Place and Duration of Study: Civil Hospital Sanghar from 1st January 2019 to 31st December, 2019.

Methodology: This cross-sectional study Sixty sexual assault cases were incorporated all survivors of rape, paying little heed to age, who announced a background marked by rape to the police or straightforwardly to our tertiary consideration community.

Result: Penile-anal penetration is the most common 82.4% and second most common was penile-oral penetration was 75%. Fifty percent of ano-genital bleeding was found in the sexual assault victims and 45.6% were physical assault during sexual assault. Mostly cases were based on incomplete investigation with the highest 47.1%.

Conclusion: Although no single event will bring the victim's recovery to a close, the arrest and successful conviction of the offender can be a significant step forward. Contrary to popular assumption, genital damage is not the usual in the aftermath of sexual assault.

Keywords: Sexual assault, alleged, offences