The general approach to treatment is no more than internal and external treatment. The internal treatment method is based on symptomatic treatment of different symptoms. The external treatment method is based on the external application of drugs, plus fumigation, intra-anal plugs, and ligation, hanging thread, and surgery. After years of clinical experience, it is believed that the combination of internal and external treatment at the initial stage is not effective after treatment, and if the condition develops further, such as the expansion of local swelling and pain, or even high fever, chills, and thirst, and if the pus has not yet broken out, surgery must be performed to incise and drain the pus or one-time radical surgery to avoid the spread of the infection caused by the source of infection. Therefore, the best time to perform surgery should not be missed due to excessive use of conservative treatment with antibiotics. Therefore, in the early stage of perianal abscess, we can consider mainly internal treatment with topical medication, while when the condition worsens and the symptoms are more obvious, surgical treatment should be the main treatment, together with internal and topical medication, to achieve better and satisfactory results.