Water supply and sanitation provision are key elements in progress towards the Millennium Development Goals (MDGs). Women's participation is considered integral to the sustainability of the projects created to meet these two MDGs. Bringing feminist and geographic critiques to bear on gendered approaches to improving sanitation coverage, the research reported on in this article indicates that latrine building and women's participation may be contradictory goals for sanitation projects, despite the fact that women are the target group for latrine-building interventions. The findings of the analysis suggest that attention must be given to latrine building as both a technical undertaking and a gendered political intervention.