Whether the surgery process of perianal abscess is painful or not mainly depends on the following aspects: 1. If the abscess is superficial and small in scope, there is no obvious pain during the operation under good anesthesia. If the abscess is deep and large in scope, there may be some pain under general anesthesia and other anesthesia methods, especially under local anesthesia; 3, related to the experience and operation method of the operator, if the operator is experienced and gentle in operation, the pain of the operation will be less, if the operator is rusty in experience and rough in operation, the patient’s pain may be greater; 4, also related to the operation method. If the abscess is treated by incision and drainage, the pain will be less, but if the abscess is treated directly by one-time incision and hanging, the pain during the operation may be relatively greater.