It all depends on severity of fissure and grade of piles. For lower grade piles and less severe fissure conservative treatment (medical treatment) is ok. But for higher grade piles and severe fissure surgery is the best option

[ ] Hi, it seems you have developed fissure in ano. ( a cut in anal canal due to passage of hard stool). You need some good laxative to make stool soft do that it should not hurt the wounded area. Take isabgol husk in Luke warm water after dinner daily. You can try Triphala powder. There are certain ointment to relax the anal sphincter which helps in relieving pain and allows fissure to heal. Do sitz bath three times a day. Feel free to ask any further quary.