Fistula in Ano is a granulated track communicating between perianal skin superficially to anal canal or rectum. Anal Fistula can be Cryptoglandular resulting from inflammation of proctodeal glands or Non-cryptoglandular resulting from Tuberculosis, Crohn’s disease, Ulcerative colitis, Hydradenitis Suppuritiva, Injury, Iatrogenic cause or Carcinoma. Advantages of treating at MAC - No fecal incontinence - This is ‘surgery without knife’ - Is performed under Local Anaesthesia - Huge wound can be avoided - Short stay at Hospital - Much economical - Can do everyday activities - Negligible recurrence How MAC treats Fistula in Ano ? A special formulated thread / seton known as Kshara Sutra as mentioned in Sushruth Samhita is prepared by coating surgical thread with various medicinal plants such as Snuhi (Euphorbia nerifolia), Apamarga (Achyranthes aspera), Haridra (Curcuma longum) etc. This alkaline thread is tied around the fistulous track which cuts, curettes, drains and heals the fistulous track. This procedure which is a milder and superior procedure that replaces all surgical methods to treat Fistula with negligible recurrence.