I was suffering from chronic fissure from long time. After 3 months I am cured from chronic fissure. But there was anal tag. Initially the size was large, but day by day it reduced in size. But it has not gone inside anus. Small portion is there. Surgeon told me it is anal tag and you will require surgery for that. He also told there is small ano cutaneous fistula pus. I went to another surgeon specialist, where he inspected my anus using proctoscopy. He told there is no fistula the skin tag is pile. That is causing you pain and itching. Then I asked him whether fissure is there. He told I don't see any fissure. Fissure heals on its own by managing proper lifestyle. But he told that the area inside anus may be filled with fibrosis. He also told to do laser surgery for piles. I am worried that during surgery do they remove fibrosis also along with piles, b coz if fibrosis is not handled I will be facing difficulty in bowel movements there can be chance of getting pile again. please help.