A perianal abscess is a purulent disease of the perianal area. In layman’s terms, it is an inflammation around the anus. The general clinical symptom is pain; deep abscesses will instead be less painful, with a heavy sensation of anal swelling and in some cases an increased temperature. Often, patients confuse perianal abscesses for perianal boils, inflammation of acne, etc. However, this inflammation has a completely different route of infection than a normal boil, which develops from within the anus and is infected from the inside out. It usually becomes septic in about three days without the use of antibiotics, or anti-inflammatory drugs as they are customarily called. Antibiotics are not the first choice of treatment, and surgery is the preferred treatment. Even if you don’t have time for inpatient surgery, you must remember to draw out the pus, and generally as long as the pus is released, the pain will be relieved. However, simple release of pus cannot cure perianal abscess, and the disease should be eradicated only by removing the infected lesions from the anus. Once a perianal abscess is diagnosed, it should not be delayed, especially if it is treated with repeated antibiotics, which will only add to the difficulty of surgical treatment later. Removing the pus as soon as possible is the only way to resolve the pain and prevent it from extending deeper into the anus. It is better to seek diagnosis of anal discomfort from an anorectologist.