This study provides initial insights into the understudied issue of revealing or concealing strategies adopted by women living with Obstetric Fistula through the lens of Communication Privacy Management Theory. The decision to disclose or not has been established as a complex process which happens not as a one-time event but changes over time. Therefore, women living with Obstetric Fistula are coupled with the added burden of who, when, what and how they manage their diagnosis information. Providing interventions geared toward disclosure and non-disclosure strategies after diagnosis can provide enormous relief for these women.