Abstract Background: Fistula in ano is a common condition treated by surgeons worldwide. Despite this, there is a paucity of high quality data to aid decision making. Hence, management presents a difficult and frustrating dilemma for the treating surgeon Methods: A prospective regional survey was sent to all members of General Surgeons Australia. Questions regarding surgeon demographics, patient evaluation, perianal abscess, simple and complex fistula in ano were presented. Results: Equipoise exists in the management of fistula in ano amongst general surgeons. This was noted in the management of simple and complex fistula in ano. Conclusion: Due to the uncertainty in certain clinical scenarios and a paucity of high quality randomised controlled trials on the management of fistula in ano, evidence based practice is a challenge to the treating surgeon.

This content is only available as a PDF.