Surgical Treatments

Anal Fistula Surgery in Los Angeles

Precise, Targeted, Minimally Invasive Surgical Solutions for Anal Fistulas

01 overview 02 Symptoms 03 treatments 04 surgery prep 05 faqs

What is an Anal Fistula?

An anal fistula is an abnormal tunnel that forms between the inside of the anal canal and the skin surrounding the anus. This tract often develops following an infection or abscess and can cause persistent drainage, discomfort, swelling, and recurrent infections. Although Crohn's disease is a known risk factor for anal fistula, many individuals with anal fistula don't have Crohn's disease. Because fistulas rarely heal on their own, evaluation and treatment by a colorectal specialist is essential.

Patients throughout Southern California have trusted Dr. Karen Zaghiyan, the best anal fistula specialist in Los Angeles, for her expert diagnosis and minimally invasive surgical techniques to eradicate infection, close the fistula, and preserve continence in patients with and without Crohn’s disease.

Signs and Symptoms of an Anal Fistula

Anal fistulas can cause ongoing irritation and infection if not treated. Common symptoms include:

Persistent drainage of pus or mucus
Pain or swelling near the anus
Recurrent anal abscesses
Skin irritation or redness around the anal area
A visible external opening or tract
Fever or malaise during active infection

Because these symptoms overlap with other anorectal conditions, timely evaluation by a highly trained colorectal surgeon is critical for effective treatment.

How is an Anal Fistula Treated?

Anal fistula treatment focuses on eliminating the fistula tract, preventing recurrence, and protecting sphincter function. Dr. Zaghiyan offers advanced, tissue-sparing approaches tailored to the fistula’s location, complexity, and relationship to the anal sphincter muscles.

Treatment options include:

Crohn’s Anal Fistula

Individuals with Crohn’s disease are more likely to develop anal fistula and have a higher chance of complex and recurrent disease. As an expert in inflammatory bowel disease surgery, Dr. Zaghiyan is highly skilled and experienced in Crohn’s anal fistula surgery. Patients with Crohn’s disease and anal fistula pose a unique challenge, but Dr. Zaghiyan’s expertise positions her as the best surgeon for Crohn’s anal fistula. Crohn’s anal fistula surgery may require preoperative colonoscopy, optimization of your Crohn’s disease with medical therapy and nutritional status, but a diagnosis of Crohn’s disease does not mean you have to live with a fistula. With expertise in Crohn’s anal fistula repair including LIFT, endorectal advancement flap, laser anal fistula closure (FiLaC), and stem cell clinical trials, Dr. Zaghiyan is positioned to individualize treatment to optimize your treatment plan.

What to Expect During Anal Fistula Surgery

Anal fistula care with Dr. Zaghiyan is designed to be clear, supportive, and individualized so you understand every step of your treatment plan.

Before Surgery

Detailed examination, imaging as needed (such as MRI or endoanal ultrasound), and a personalized discussion of the fistula’s anatomy and the most effective treatment options.

During Surgery

Use of minimally invasive or sphincter-preserving procedures such as FiLaC, LIFT, or advancement flap repair, performed with precision to eliminate the fistula while maintaining continence and function.

After Surgery

Close follow-up care, wound management guidance, and monitoring to ensure proper healing and reduce the risk of recurrence.

FAQs About Anal Fistula

Where to Find the Best Anal Fistula Surgeon in Los Angeles

Living with an anal fistula can be painful, isolating, and emotionally exhausting. Finding a surgeon who truly understands your discomfort and offers advanced, minimally invasive solutions can bring tremendous relief and hope.

If you’re seeking the best anal fistula surgery in Los Angeles, Dr. Karen Zaghiyan is a leader in her field and is renowned for her expertise in laser closure, LIFT procedures, advancement flap repairs, and specialized approaches for rectovaginal fistulas. Her combination of precision, compassion, and sphincter-preserving techniques helps restore comfort, confidence, and quality of life.

Ready to find lasting relief with the best anal fistula surgeon in Los Angeles?

Schedule Appointment

Call (310) 289-9224

LA’s Expert Colorectal Specialist

Karen Zaghiyan, MD

Request an appointment

For patients who need an urgent consultation, it is best to call us at (310) 289-9224. Otherwise, please complete and submit the form below and a member of our staff will contact you shortly.

ADDRESS

Karen Zaghiyan, MD 
8737 Beverly Blvd, Suite 101 
Los Angeles, CA 90048

phone

(310) 289-9224

Location

& Hours

hours

MON 9:00 a.m. - 5:00 p.m.

TUE 9:00 a.m. - 5:00 p.m.

WED 9:00 a.m. - 5:00 p.m.

THUR 9:00 a.m. - 5:00 p.m.

FRI 9:00 a.m. - 5:00 p.m.