The need for surgery for a broken perianal abscess cannot be generalized, but depends on the severity of the condition. When a perianal abscess breaks, a large amount of pus will be discharged and the pain will be relieved. If the abscess area is small, the condition is mild, and the broken skin area is large, so that the pus can be discharged more easily, which is conducive to the recovery of the condition, generally there is no need for surgery. However, if the abscess area is large, the condition is more serious, and the broken skin area is small, which can’t make the pus drain out of the body better, in most cases, it is necessary to carry out incision and drainage surgery, to ensure that the pus is completely discharged, which is conducive to the recovery of the condition. Therefore, whether the perianal abscess is broken need surgery is based on the specific conditions of the decision, it is recommended to go to the hospital anorectal examination and diagnosis in a timely manner, under the guidance of a professional doctor to carry out targeted treatment, is conducive to the recovery of the condition.