If the patient’s small fleshy bumps are caused by an anal fissure, the doctor can simply determine that the fissure is an old anal fissure that has been around for a long time, several months or even six months, a year or even years. In this case, it is necessary to operate not only to cut off the bumps, but also to treat the fissure. The reason for anal fissures is that the anus has become smaller and narrower, which is why the fissures are formed. Therefore, surgery is required for small bumps caused by anal fissures, not only to get rid of the bumps, but also to deal with the fissures together in order to fully recover.