by chachacha » 02 Feb 2016, 11:05
I had an on and off fissure (in two month increments as well) for several years, and then had full-on for 12 months straight, and the pain in that last year was EXTREME. I clearly didn't opt for the surgery in those on and off years, but finally had it done last year (after the 12 months of agony). Only you can determine when the time is right to take the plunge, based on how big a deal your issue is. I wish you all the best in your decision, and if it helps, having the surgery was the best thing that I've ever done, because it changed my life from one of misery, to the pain-free one I'm living now.

Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017