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Ask Doctors - Get Video Answers in HINDI Subscribe to - / @doctorscirclehindi for HINDI videos Anal fissures being wounds in the anal canals caused by hard stools against a tight sphincter. Initial treatment will be medical line of management, surgery will be done required only when it is long standing or repeating or failure of medical management. There are 2 varieties of surgical management, that is to relieve the sphincteric spasm which are very tight, so we can either cut the sphincter that is called as lateral sphincterotomy where you cut the sphincter to make the sphincter lose or we can stretch the sphincter in such a way that they will become lose enough. So that is called as anal dilatation or sphincter tone optimisation. So these are the surgical procedures which will be done and most of them if done properly will give a permanent cure.