Comparatively speaking, it is better for a perianal abscess not to break than to break on its own. When a perianal abscess is diagnosed, it should be incised and drained as soon as possible. If it breaks on its own, it is more suggestive of aggravation of the condition and the possibility of anal fistula. When the perianal abscess is not broken by itself, the patient should go to the local regular hospital as soon as possible, and under the guidance of the doctor for abscess incision and drainage, in order to avoid further spread of infection. And the surgery should remove the source of infection in the mouth to prevent the formation of anal fistula. After the perianal abscess breaks on its own, the pus flowing out may relieve the patient’s pain, but it will not make the perianal abscess heal. Since the primary infection is not treated, the abscess will recur and may lead to the formation of a fistula. Regardless of whether a perianal abscess breaks on its own or not, it is important to seek medical attention as soon as it is detected and under the guidance of a doctor to carry out appropriate treatment. When there is discomfort after the operation, you should also consult a doctor in time to avoid aggravation of the condition.