Perianal abscesses usually cannot heal on their own, and require intervention through treatment such as incision and drainage, and the application of antibiotics when necessary, usually leading to a better prognosis. 1. Perianal rectal abscess: it is usually treated by incision and drainage, regardless of whether it has become pus or not, it should be incised and drained promptly after diagnosis. 2. There is a clear fistula formation on the internal orifice: if it is a simple anal fistula, or a horseshoe-shaped abscess with a high risk of recurrence, it is necessary to consider anal fistulotomy; female anterolateral abscess, high-risk complex abscess, even if a fistula is formed, it is still necessary to incise and drain or hook up the drainage. 3. Serious infected perianal rectal abscess: need to consider the use of cephalosporin and other antibiotics, there are systemic infections, immunosuppression, diabetes mellitus, cardiac valvular disease patients to be treated with antibiotics anti-infective. Patients with perianal discomfort, it is recommended to go to the regular hospital in a timely manner, and follow the doctor’s instructions for symptomatic treatment.