Pilonidal Sinus Surgery
If you’re dealing with discomfort, swelling, or recurring infections near the base of your spine, you may be facing a pilonidal sinus. This condition can be painful, disruptive, and even embarrassing—but the good news is, you’re not alone, and effective treatment is available.
Here in London, we provide expert pilonidal sinus surgery designed to relieve your symptoms and prevent the condition from coming back. Whether you’ve just been diagnosed or have struggled with recurrent pilonidal abscesses, we’re here to help you get back to a pain-free life.

What is Pilonidal Sinus Disease?
A pilonidal sinus is a small tunnel or tract under the skin, often located in the natal cleft—the area between the buttocks. It can contain hair, debris, and skin cells, which leads to inflammation and infection.
When infected, it forms a pilonidal abscess, causing swelling, pus discharge, pain when sitting or walking, and sometimes fever. For many, this becomes a recurring issue that requires medical intervention.
If you’ve noticed a lump, drainage, or soreness in that area, it’s worth speaking to a pilonidal sinus consultant in London for an evaluation.
Common Symptoms of an Anal Fissure
Pain during bowel movements
A sharp, burning sensation that can linger for hours after using the toilet.
Bright red blood on toilet paper or in the bowl
This usually appears as streaks rather than heavy bleeding.
A visible tear around the anus
You might see a crack in the skin if you examine the area.
Often confused with haemorrhoids, this can appear near the fissure.
Conservative Anal Fissure Treatment Options
In many cases, no surgery is needed. Initial anal fissure treatment involves conservative measures like:
- Dietary changes to prevent constipation (high-fibre foods, more fluids)
- Stool softeners or laxatives to reduce straining
- Sitz baths — warm water soaks that relax the area and promote healing
- Topical creams to reduce pain and encourage blood flow to the region
These non-invasive methods often resolve the issue within a few weeks. However, when symptoms persist, it’s time to explore a more lasting solution — anal fissure surgery.
Anal Fissure Surgery – When Is It Needed?
If conservative treatments haven’t worked or you’ve had multiple recurrences, a minor procedure might be the best way forward. Our private anal fissure operation in London is safe, quick, and performed by experienced specialists.
The most common surgical option is lateral internal sphincterotomy (LIS). This involves gently releasing a small part of the internal anal muscle to reduce tension, which allows the fissure to heal.
Benefits of Anal Fissure Surgery
- Rapid and lasting pain relief
- High success rate (over 90%)
- Minimally invasive with fast recovery
- Reduced risk of recurrence
Why Choose Us for Anal Fissure Surgery in London?
Real Stories from Our Patients
I was nervous about coming in, but from the first consultation, I felt completely at ease. The surgery was quick, and I’m finally pain-free.
Emily R., London
I’d been suffering for months. This was the best decision I made — the staff were kind, and the results were amazing.
Daniel M., South London