Hi, I would advise you the following::: If your fissure is just for 3 months and if there are less than 3 attacks till now and there are no associated problems, you can try the following method of treatment and you may NOT need surgery. High fiber diet. Avoid all the foods and beverages and stress-like conditions which gives constipation. Laxative for softening the stool- never allow the dose too much to cause liquid stools. Normacol granules give better result as your Gastro has advised. Sitz bath- very important- just before passing a stool and after passing a stool. Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean. You can apply liquid povidone-iodine locally. Apply nothing else. 5-day course of an antibiotic on the prescription of a local Doctor. Add probiotics and multivitamins. Avoid stress and mental tensions at any cost; this is a very important factor. Continue this for 3 weeks and most probably you may not need surgery. If the results are positive you have to continue doing all this and take proper care. This helps all my patients and should help you too. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon