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Ksharasuta therapy is the most successful treatment modality for fistula in ano. Ksharsutra therapy has high success rate [11] and least recurrence rate (3.33%) [12]. It is very easy day care and cost effective treatment with minimum rate of complications as compared to conventional treatment modalities which requires hospitalization, regional or general anaesthesia, and regular post-operative care. These surgical treatments are associated with a significant risk of recurrence (0.7–26.5%) and high risk of impaired continence (5–40%) [13]. Though the Ksharsutra therapy is choice of treatment for fistula in ano with number of benefits but it has few disadvantages such as discomfort, post procedural pain, number of hospital visits, longer duration of treatment and big post-operative scar which lead to low compliance and low acceptability by many patients. IFTAK (Interception of Fistulous tract and application of Ksharsutra) technique seems to overcome the limitations and consequences of conventional method. Duration of therapy was less by shortening the length of the track and taking care of crypto glandular infection where there was no need to treat residual curved track. Pain was significantly reduced because of less exposure of tissues after interception which is from internal opening where as in conventional method whole track was exposed along the axis during the Ksharsutra change which increases the pain and burning sensation because of more tissue exposure. DR.PRAVEEN SAHAVE DR.PUJA SAHAVE DIRECTOR ABHYUDYA PILES LASER HOSPITAL MANISH NAGAR ROAD AND RAMESHWARI SQUARE,NAGPUR CALL 9970743318 www.pilesfistulacure.com