Minimally invasive surgery for perianal abscess is prone to recurrence, and most patients can be treated radically by utilizing traditional surgery, which needs to be based on the patient’s condition and the selection of the appropriate surgical method for treatment. Perianal abscess is mainly caused by inflammation of the anal gland infection, red and swollen paranal mass, there is the possibility of rupture, secondary infection, perianal abscess minimally invasive surgery late recurrence rate is relatively high, mainly because of the drainage may not be fluent phenomenon, but the postoperative anus integrity is better, the leakage of liquid is less. Traditional surgery can completely excise the abscess, remove the abscess cavity, so that the condition can be cured, traditional surgery is relatively large trauma, drainage is more smooth, postoperative recurrence rate is relatively low, but prone to the phenomenon of anal moisture. Specific surgical methods need to be under the guidance of the doctor, according to the severity of the patient’s condition, choose the appropriate surgical methods, after the operation need to pay attention to local hygiene to avoid infection and false healing.