Perianal abscess treatment includes: 1. non-surgical treatment, methods include the application of antibiotics chosen to be effective against gram-negative bacilli, but also warm water sitz baths, local physiotherapy and oral laxatives or liquid paraffin to reduce pain during defecation. 2. surgical treatment, incision and drainage is the main method of treating perianal abscesses, once the diagnosis is clear, incision and drainage should be performed. Perianal abscess incision and drainage can be performed under local anesthesia, and the most obvious place of fluctuation is cut in a radial pattern with the anus, and no filling is needed after the incision to ensure unobstructed drainage. After perianal abscess incision and drainage, the majority of patients will develop an anal fistula, a condition that requires a second operation to treat the fistula.