I was suffering from anal chronic fissure and anal skin tag, after treatment for around 3 weeks from my gp, I was not getting relief so I decided to go to the gastroenterologist. Initially he told that it is fissure and gave me medicines like levocet, looz Fibre powder, cremalax, and anometrogyl cream which was to be inserted in the anus. He told me to come after 10 days. Today I again went to gastroenterologist, he asked me about the pain. I told pain has reduced much, but sometimes after my bowel movement the skin tag comes out and it pains. This don't happen everyday but only when I feel constipation. Then he again inspected my anus and told that there is no option for anal tag even though fissure has healed a lot. Anal tag will be disturbing you in the future also. He has given in writing that you will need surgery for anal inflamed tag excision and small anocutaneous fistula pus cast. I asked him after how many days I can go to office. He told after 7 days. He told even if you are not having much pain now. You have no option in future for anal tag other than surgery. He also told to take time and think about whether to go for surgery or not. I am scared and didn't know what to do. Also I will not be able to take long leave from office as I had just joined the company. Anyone please help give me description detail of my problem, how much pain after surgery, surgery process, which surgery homeopathic or ayurvedic, or laser to prefer. The doctor had told it is medium surgery. But I don't know how it will be. Only have heard that there is lot of pain after surgery.