Fissure-in-Ano depicts a break in the lining of the anus due to extreme stretch during a passage of a large hard motion. Severe pain in that area will cause spasm of the anal sphincter and prevent further passage of motion causing increased constipation. This condition is often seen in girls and young women. They usually get scared going to the toilet because of the fear of pain. A few drops of blood are seen at the end of passing motion and quite often a pile mass or a skin tag is seen at the anus. Drinking plenty of water, eating vegetables and fruits will make stools soft and pain lesser. Local anesthetic ointments, sitz bath(warm water with savlon/Dettol) and laxatives help in a majority of patients. If pain doesn’t subside then a small surgery in the form of lateral sphincterotomy and gentle anal dilatation effectively gives a permanent cure to these patients. This is a day-surgery procedure.