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This edited video shows the author's approach and method for performing lateral anal sphincterotomy for chronic anal fissure under perianal anaesthesia. This video is associated with a text under submission for publication in the journal Colorectal Disease. Narimantas E.Samalavicius(1,2), Edgaras Smolskas(3), Vita Klimasauskiene(1), Stasys Mikuzis(1), Audrius Dulskas(2,4,5). (1) Department of Surgery, Klaipeda University Hospital, 41 Liepojos Str., LT-92288 Klaipeda, Lithuania (2) Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 1 Santariskiu Str., Vilnius LT–08406, Lithuania (3) Vilnius City clinic hospital, Antakalnio str, Vilnius, Lithuania (4) Departament of General and Abdominal Surgery and oncology, National Cancer Institute, Vilnius, Lithuania. (5) University of Applied Sciences, Faculty of Health Care, 45 Didlaukio Str., LT-08303, Vilnius, Lithuania Video associated with Colorectal Disease Journal (published by Wiley and associated with the Association of Coloproctology Great Britain and Ireland (ACPGBI), European Society of Coloproctology (ESCP) and Spanish Society of Coloproctology (SSC). The videos on this channel are there for illustrative purposes only and the ideas, approaches and procedures shown in them are in no way recommended or endorsed by Colorectal Disease, its owner, editors or publisher.