1. Anal Fissure: Surgery may be necessary if the fissure does not heal with conservative treatments such as creams, diet changes, or medications.
2. Perianal Fistula: Surgery is generally required and is necessary to treat fistulas to prevent infection and recurrence.
3. Piles (Hemorrhoids): Surgery is needed if piles are causing significant pain, bleeding, or are prolapsed and are not relieved despite home remedies and other medical measures.
4. Gallbladder: Surgery is advised if there are recurring gallstones, inflammation, or other complications.
5. Hernia: Hernia surgery is necessary to prevent further complications, especially when pain or bulging increases.