There was also an unsuccessful extreme pornography prosecution in 2012 where it was argued by the prosecution that images of anal fisting constitute extreme pornography and thus are illegal to possess because the act is 'likely to result in serious injury to a person's anus, breasts or genitals'. In the United States, according to attorney Allan Gelbard there is nothing 'per se illegal' about any pornography so long as it is not child pornography, however, it can be found to be obscene.

Fisting is on the Cambria List, a list of sex acts which may be prosecutable under U.S.