It is not always necessary to shrink or remove an anal skin tag. A doctor will evaluate the situation and determine the best course of action based on the potential hazards. They may initially attempt to cure any underlying factors that cause the anal skin tags, such as hemorrhoids. Then, as with other skin tags on the body, a physician may recommend surgically eliminating the anal skin tag. Scissors excision, electrocautery, or cryosurgery are three options that a doctor may use to remove skin tags.