Magnetic compression anastomosis offers a promising option for patients with completely obstructed benign biliary strictures unresponsive to standard therapies.

• 92.9% overall success rate in 113 patients treated with MCA.
• Only 14.3% experienced recurrence, with a median of 23.7 months after treatment.

Surgeons can consider MCA as a viable alternative, minimizing the need for surgical interventions.

• Major complications were rare, with only one case of mild cholangitis.