Anal Fistula Surgery Cost and Factors that Influence the Cost

Anal fistula surgery is a common and highly effective treatment for a small, infected tunnel (fistula) that forms between the inside of the anus and the skin near it. The surgery helps stop infection, drain pus, and restore comfort in daily life.

In India, the cost of fistula surgery generally ranges from Rs. 45,000 to Rs. 1,50,000. The exact cost depends on the type of fistula, surgical method used (open, LIFT, or laser), the hospital, and the surgeon's expertise.

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What is a Fistula?

An anal fistula is an abnormal tunnel that develops between the inner lining of the anus or rectum and the skin around it.

It usually occurs after an infection or abscess that doesn't heal completely. The tunnel allows pus or fluid to drain through the skin, causing discomfort and repeated infections.

Key Takeways

Name of Surgery	Anal Fistula Surgery
Procedure Type	Colorectal / General Surgery
Anesthesia	Regional or General Anesthesia
Duration	30-90 minutes (depends on fistula type)
Recovery Time	2-6 weeks
Cost Range in India	Rs. 45,000 - Rs. 1,50,000

Benefits of Fistula Surgery

Relief from pain, swelling, and pus discharge
Stops recurrent infections and abscesses
Improves hygiene and comfort
Quick recovery with laser and LIFT techniques
Reduces risk of recurrence
Helps restore normal routine and quality of life

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Fistula Surgery Cost in India?

The average cost of fistula surgery in India ranges from Rs. 45,000 to Rs. 1,50,000, depending on the complexity of the condition and the treatment technique used.

Simple fistulas treated with basic fistulotomy are on the lower end, while laser or LIFT surgeries for complex tracts cost more but offer faster recovery and less recurrence.

Basic Cost Components

The total cost of fistula surgery usually includes:

Surgeon's and anesthetist's fee
Hospital stay and operation theatre charges
Anesthesia cost (local, regional, or general)
Diagnostic tests like MRI or ultrasound
Medicines and wound care materials
Follow-up visits and dressings

Average Cost by City

City	Average Cost (Rs. )
Hyderabad	Rs. 45,000 - Rs. 1,50,000
Bangalore	Rs. 50,000 - Rs. 1,60,000
Pune	Rs. 50,000 - Rs. 1,50,000
Navi Mumbai	Rs. 60,000 - Rs. 1,70,000
Visakhapatnam	Rs. 45,000 - Rs. 1,30,000

Disclaimer: These costs are approximate and can vary depending on hospital facilities, surgeon experience, additional tests, or medications required.

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Factors Affecting Fistula Surgery Cost

The total cost depends on:

Type and severity of the fistula (simple vs. complex)
Surgical method chosen, laser, open, or LIFT
Experience and specialization of the surgeon
Hospital quality and infrastructure
City / geographic location
Pre-surgery tests or medications
Postoperative follow-up and dressings
Insurance coverage for medically necessary procedures

Who Needs Fistula Surgery?

Fistula surgery is recommended when:

You have continuous pain, swelling, or discharge near the anal area
The fistula doesn't heal with antibiotics or ointments
There are repeated abscesses or infections
You have difficulty sitting, walking, or maintaining hygiene
The fistula is deep or complex and cannot close naturally

Doctors use imaging like MRI or ultrasound to confirm the type and depth of the fistula. Based on the results, they choose the safest procedure, open, laser, or LIFT surgery, to ensure the best outcomes with minimal risk.

Common Symptoms Include

Constant pain or swelling near the anus
Pus or blood discharge that stains clothing
Skin irritation or itching around the anal area
Recurrent abscesses or fever

If left untreated, the infection may worsen and lead to chronic pain, poor hygiene, and sometimes more complex fistulas. Surgery offers the best and most lasting solution.

Types of Fistula Surgery (with Approximate Costs)

Type of Surgery	Description	Approx. Cost (Rs. )
Open Fistulotomy	The fistula tract is opened and cleaned to heal naturally. Best for simple cases.	Rs. 45,000 - Rs. 80,000
LIFT Procedure	A modern, sphincter-sparing technique that closes the internal opening without cutting the muscle.	Rs. 70,000 - Rs. 1,20,000
Laser Fistula Surgery	Uses a special laser probe to close the tract from inside. Minimally invasive with faster recovery.	Rs. 90,000 - Rs. 1,50,000