Since the day known as perianal fistula disease, surgeons have been trying to treat the disease without damaging the anal sphincters that control the stool. However, the nature of the disease and its spread to the anatomical areas around the anus, which is not easy to identify, have caused recurrence of the disease and in most cases led surgeons to treat fistula using more sphincter discontinuation methods. Considering the value of anal sphincter muscle in the control of excretion, it seems that, if possible, prior to the decision to have a fistulectomy, all the procedures in which the sphincter is preserved should be used.