Dr Leslie Browder in Las Vegas fixed me!
After reading many painful posts, I resolved to tell my success story in a few forums in hopes someone in my pain can be helped - I'll be brief.
She did a fissurectomy, hemorrhoidectamy and colonoscopy (4 years early for me, but why not if there & a few early onset cases support my 'why not' paranoia).
It's been about 6 months and I'm 100% - a few skin tags around the rectum I imagine, but no pain!
I eat better & take stool softeners if I don't poo after 24 hours, so I don't strain & end up backward.
Went from large hemorrhoids to burning when I shit fissure (banding one didn't resolve & fissure was too painful to be patient with it & to do more banding), TO no pain & normal life.
From pain I agreed to surgery too quickly & only after, when looking for recovery estimates, found many failed fissurectamy stories. They may have scared me out of it, but ignorance helped me this time.
Without rambling, I eat a little better, but still drink alcohol (inflammation) and believe it's hereditary since my mother had them. Had them for years, but think I kicked them up with heavy weight lifting.
Hope this may help a few - I hate pain & love the results.