Even if a paranal abscess is broken, surgery should be performed, but the timing of surgery needs to be combined with the severity of the patient’s own symptoms. If the patient’s abscess is broken, but the pus in the abscess is not draining smoothly and the local swelling and pain are still present, surgery should be performed in time, either by abscess incision and drainage or by one-time radical abscess treatment. If the perianal abscess breaks, the pus flows out smoothly and the local swelling and pain symptoms are rapidly relieved, the patient can undergo surgery in time, or he can choose to perform radical surgery for anal fistula after three months of formation. The only way to finally cure is surgery, so it is recommended that patients go to the hospital in time for surgical treatment.