Best judgment of treatment is the performing surgeon only as He is the only one seen the preop case ,I did not know the preop condition so Can’t comment on ,surgery is excessive or inadequate. Although for Low intersphincteric fistula ,fistulotomy is often enough ,and depending on aNal tone ,one decide for Fissure surgery :LIs or fissurectomy.. for recovery you need to avoid constipation/straining while passing stool,Take laxative ,Sitz bath ,it takes time .

The surgical approach described is not necessarily bad or unnecessary if all the conditions (low intersphincteric fistula, chronic fissure with sentinel polyp/skin tags, and symptomatic hemorrhoids) were present. Fistulectomy/fistulotomy with primary sphincter repair is an accepted option for selected low fistulas. Fissurectomy with polyp/tag removal is appropriate for chronic fissures, and FGHAL is a sphincter-preserving treatment for suitable hemorrhoids. Performing these procedures together in a single sitting is common when clinically indicated and may avoid multiple operations.

The surgery described is an accepted approach for a low intersphincteric fistula with associated chronic fissure, sentinel tag/polyp, and symptomatic hemorrhoids, provided it was performed for appropriate indications by a colorectal surgeon. Primary sphincter repair is often done to reduce the risk of incontinence when part of the sphincter is divided during fistulectomy. FGHAL is also a recognized minimally invasive treatment for selected hemorrhoids. Recovery usually takes 4–8 weeks, depending on the extent of surgery. Pain, mild bleeding, and discharge are common initially.