Deezy, I had my hemorrhoid surgery in Aug and after a very long and painful recovery period, I am still not healed. I have had a small cut on the outside of my anus that continues inward and looks like a small ulcer. My surgeon who was not a colorectal surgeon thought it was a fissure but when I told him that I did'nt have pain during or after bms, he was'nt sure. I went to see a colorectal surgeon who diag. me w/ an anal fissure. It is sore to the touch on the outside but that's about it. She told me about botox injections and surgery. I am scared to death to have any other surgery especially one that can cause incontinence. I am using diltiazem now. I have been reading your posts and wondered if you could offer any advice. How long did you have the fissure and when did you consider surgery? How bad was your pain and did you have a cut on the outside that you could see?? Please reply any info. will help!!! thank you.