Ascaris lumbricoides is the largest and most prevalent of the human helminths. Ascariasis causes a unique type of intestinal obstruction with specific problems, having high morbidity and mortality. There is no management algorithm available in the literature to treat such cases. We aimed in this study to develop an algorithm for the management of intestinal obstruction due to ascariasis. A medline search of the English literature on the management of intestinal obstruction due to ascariasis was performed. Management of one of our patients with intestinal obstruction due to ascariasis is presented herein as an example of such cases. Intestinal obstruction due to ascariasis is a serious disease with a high morbidity and mortality, especially postoperatively. A management algorithm for the treatment was developed. The management of intestinal obstruction due to ascariasis was challenging and required difficult decisions. We think that this algorithm will be of great assistance in facilitating a rapid and successful treatment. This algorithm may prove to be of a great value for physicians treating such cases.