Postpartum episiotomy dehiscence is a rare complication of vaginal delivery. Forceps-assisted vaginal delivery overmediolateral episiotomywas complicated by infection and dehiscence with rectal injury. A diverting ileostomy was used to permit healing. Episiotomy infection requires early recognition and thorough evaluation to exclude occult rectal injury. Postpartum episiotomy dehiscence is a rare complication of vaginal delivery. Forceps-assisted vaginal delivery overmediolateral episiotomywas complicated by infection and dehiscence with rectal injury. A diverting ileostomy was used to permit healing. Episiotomy infection requires early recognition and thorough evaluation to exclude occult rectal injury.