I suffered with a fissure for years. It turned out to be one of the deepest fissures my doctor had ever seen. It was pure agony to pass stool, even gas. I tried everything, metamucil, baths, calmol 4 suppositories, (those three things can be great for you if its not as severe as mine!) creams, antiseptics, baby wipes, Etc etc. I wouldn't wish the pain on my worst enemy. I couldn't sit at work so I'd claim I was having back problems and kneel at my desk. I'd toss and turn all night. Train rides home were incredibly uncomfortable. Each trip to the bathroom was dreaded, and after a painful experience passing stool, it became a game of gingerly cleaning myself with a variety of tools and painkillers to avoid irritating the fissure. Years of this. Pain so bad that it would bring tears to my eyes. I'm a grown man. I began to feel hopeless and despair. I felt like life wasn't worth living, and each day was made unbearable by a tiny cut on my anus. Who could possibly understand what I was going through?
I got the surgery. After weeks on the aforementioned metamucil, morning/evening baths and calmol 4 treatment, my newly appointed doctor told me it wasn't going to heal on its own. Ever. I was nervous but went through with it, and after one single day of pain following the surgery I was free. Free to live my life without pain. Free to feel like a normal person. I had a fissurectomy performed at Mountainside Hospital in NJ, and my life has improved 1000%. I sincerely recommend anyone suffering to get the surgery. Bite the bullet, and get this treatable problem fixed permanently.
It's been a year since my surgery, and occasionally I have a scare where I get a painful stool. But it always heals up, like a normal person's rear end should.
Do yourself a favor that you will never regret.