This episode takes us away from IBD and into the realm of perianal pathology. Although not the prettiest side of general surgery, these topics are commonly encountered and definitely fair game for the exam!This episode covers:- Anal fissures- Perianal abscess, and- Pruritis aniWe cover the presentation, workup, diagnosis and management of these conditions. We also cover the surgical steps of botox for fissures, lateral internal sphincterotomy, and incision and drainage of perianal abscess.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021