Fear is very common in anal diseases. One should realise that pain during passage of stool should not be taken lightly. They may be a symptom of a tumor or a colitis (inflammatory bowel disease) that of course will benefit from early diagnosis and treatment. Secondly, certain diseases that cause anal pain such as anal fissure are simple to treat either medically or surgically. Many procedures can now be performed incurring mild pain and decreased wound. The postoperative dressings are rarely required. Most patients are able to get back to work in 1-2 weeks.