Anal fissure or fissure-in-ano is a common proctologic disease. Although seemingly trivial, it can lead to extreme discomfort and pain. The condition is usually noticed as a small drop of blood on the toilet paper or a streak of blood on stools. One may feel itchy in the area. An acute fissure can lead to intense pain during defecation as there is a tear in the skin around the anus. The anal skin has a rich nerve supply; therefore even a small tear causes extreme pain. Many people describe it as a sharp, intense, burning pain, making it very uncomfortable to sit down. A patient suffering from fissure dreads even the thought of going to the toilet. Slightly more common in females, fissures are often found in young adults. When a fissure becomes chronic, pain may be less but it may be associated with a sentinel pile or an anal papilla which is felt like a small piece of extra skin in the area.