Fast, lasting relief from the sharp pain of anal fissures — medicines first, and a small, precise operation only when truly needed.
An anal fissure is a small tear in the lining of the anal canal, usually caused by passing hard stool. It causes a characteristic sharp, cutting pain during and after bowel movements, often with a few drops of bright red blood. Fear of pain leads to stool withholding, which hardens stool further — a cycle that keeps the fissure from healing.
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A gentle visual examination is usually all that is needed — the fissure is visible at the anal opening, and our surgeons avoid painful internal examination in the acute phase. If anything atypical is seen, further evaluation is arranged and explained first.
Most acute fissures heal in a few weeks with stool softeners, a high-fibre diet, warm sitz baths and prescribed relaxing ointments. We treat the constipation cycle, not just the tear — that is what prevents recurrence.
For chronic fissures that fail medical treatment, lateral internal sphincterotomy (LIS) — a small, precise release of the tight internal sphincter muscle — gives immediate and lasting relief with success rates above 95%. It is a short day-care procedure under anaesthesia.
We recommend surgery only when it is genuinely the best option for you — and explain why, in plain language, before you decide.
Day-care procedure; home the same day with dramatic relief of the original pain.
Sitz baths and stool softeners; most patients pass stool comfortably within days.
Back to routine activity and desk work.
Healing confirmed at follow-up; maintain fibre and fluids to prevent recurrence.
Timelines are typical for uncomplicated cases — your surgeon will give you a personalised plan.
The final cost depends on the technique used, the complexity of your case, the type of room you choose and your length of stay. After your consultation you receive a clear, itemised estimate — before you decide anything.
Bring your policy details or insurance card and our front-desk team will help you with the paperwork and coordination with your insurer from admission through discharge.
Bawa Hospital in Ludhiana treats patients from across Punjab — including Chandigarh, Mohali, Jalandhar, Amritsar, Patiala, Bathinda, Moga and Khanna — as well as Delhi NCR, Haryana, Himachal Pradesh and Jammu & Kashmir.
For outstation patients we plan the consultation, pre-operative tests and surgery to minimise trips — often completed in a single visit, with follow-up support on WhatsApp.
Most acute fissures do — with softeners, fibre, sitz baths and ointments, the majority heal in 4–6 weeks. Surgery is only for chronic fissures that keep recurring or refuse to heal.
In experienced hands, lateral internal sphincterotomy is very safe. The division is small, calibrated and precise; significant continence problems are rare. This is exactly the kind of procedure where an experienced surgeon matters — and that is what you get here.
Usually because the underlying constipation or sphincter spasm was never addressed. We treat the cause along with the fissure, and chronic recurrent fissures often have a tight sphincter that only surgery reliably fixes.
Most patients report the surgical discomfort is far less than the fissure pain they lived with — relief of the original pain is often immediate.
Medically reviewed by Prof. (Dr.) Ashvind Bawa, MS FACS — Director, Surgical Services · Last reviewed July 2026
Most fissures heal with the right medical plan. For the rest, a 15-minute procedure ends years of pain.