Low anal fistula without surgery is not possible, usually need surgical treatment in order to recover. Low anal fistula is a relatively common anorectal disease, mainly manifested as anal pus, pain, itching and other symptoms, the emergence of low anal fistula if not treated in time, will lead to recurrent perianal infection, swelling and pain, scarring, usually take surgical treatment method with a high cure rate. Low anal fistula in the attack with pus, redness, swelling, pain and other symptoms using medication can only control the development of inflammation, can not completely cure anal fistula, but also need to take surgical treatment. Surgical treatment is mainly to open the fistula, so that the drainage is smooth, to curb the further development of the disease, the wound gradually get healed. So low anal fistula need to do surgery. Postoperative need to do a good job of care, postoperative need to use 1:5000 potassium permanganate solution sitz bath, cleaning to remove the corrupt tissue, promote the growth of fresh granulation, promote wound healing, prevent wound infection. If the patient has a low anal fistula, it is recommended to consult a doctor in a timely manner, after a clear diagnosis, actively cooperate with the doctor for surgical treatment.