Thanks for your question on Healthcare Magic.
I can understand your concern.
You need to follow these steps to avoid surgery for piles and fissures.
1. Drink plenty of fluids orally and keep yourself hydrated.
2. Avoid oily and spicy food.
3. Avoid smoking
, alcohol, tea and coffee.
4. Loose weight if you are obese
5. Sit in warm water 2-3 times a day.
All the above mentioned things are to avoid constipation
If you are follow these then it is less likely that you will need surgery for piles and fissures.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.