I came by this article on the subject of treatment of anal fissures. The article mentions procedures & methods of healing that I have never heard of. From humble dilation to carbon dioxide lazer treatment and everything inbetween. Reference is made to the potential side affects of all the techniques-if applicable,

The information seems to be from a reliable source. I'm posting this in the hope that if one small piece of the information is helpful to just one person, then it has been worth it.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2141661/

Thank you very much for this information.
I've been told by my surgeon that he will perform what is described in the paper as " Lateral subcutaneous internal sphincterotomy and radio frequency surgery".
He actually described the way he was gonna cut an coagulate and cautherize the piles and i have to pay an extra fee of aprox 200 usd because the device is not covered by my medical ensurance.
I would love more information if some surgeon is reading this. As far as I know the modern procedures are often made with laser scalpels and this radio frequency devices for hemmorrhoids and sentinel tags.

Hi,
I hope someone on here who is more knowledgable than me can advise you.

I don't know how committed you are to the appointment for the procedure, assuming that has been made. I would feel the same as you, in that I would want to fully understand what I was committing to. Some of these professional guys don't want to explain in layperson terms, and just want the patient/client to simply trust them regardless. Do you have the option of getting a 2nd oppinion offline/either face to face or via the phone?

I actually do, but I was misdiagnosed with external hemmorhoids so I'm sticking with this surgeon.
I checked with others on the phone and everyone agrees that since i have large sentinel piles and the condition is already chronic, lis is the best choice.
I already did 3 nitro treatments with no luck. The fissure doesnt bleed but the tissue never ends to heal.
This surgeon already saw me 16 times for the last 6 months... so i think there is nothing else to do.
I'm aware that surgery here in my country is made as the paper described. I just would like to know if someone had experiences with it, if it is less painful, how the recovery went and etc :)