UNITTAS – meaning "United" in Spanish. Our hospital is conceived by the united efforts and collective participation of senior, well experienced medical professionals and professionals from other service sectors.

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Fistula Surgery Cost in Chennai

An anal fistula can cause constant pain, swelling, and discomfort, making everyday life much harder than it should be. If you are planning treatment, understanding the fistula surgery cost in Chennai is an important first step. In Chennai, the cost usually ranges from INR 15,000 to INR 1,00,000 based on the surgical method, hospital facilities, and how complex the fistula is. At Unittas Hospital, we offer transparent, all-inclusive pricing across our Tambaram, Kelambakkam (OMR), and ECR branches, along with expert care from experienced surgeons like Dr. Giridharan.

Get Your Personalised Package Price

Transparent pricing with no hidden costs. Packages include consultation, tests, surgery, stay, medications, and first follow-up.

📞 044-4012-4012

Available at Tambaram | Kelambakkam (OMR) | ECR

What Is Anal Fistula?

An anal fistula is an abnormal tunnel-like tract that forms between the inside of the anal canal and the skin near the anus. It typically develops after a perianal abscess that does not heal completely. The infected gland inside the anus creates a pathway (tract) that tunnels through surrounding tissue and opens on the skin surface, causing persistent discharge, pain, and recurrent infections.

Anal Fistula Surgery Cost: Technique-Wise Breakdown

ProcedureCost RangeHospital StayRecoveryBest For
Fistulotomy (Open)₹15,000 – ₹55,0001–2 days3–6 weeksSimple, superficial fistulas
Fistulectomy₹20,000 – ₹65,0001–2 days4–8 weeksComplete excision for tracts with branches
Laser Fistula Surgery (FiLaC)₹25,000 – ₹70,000Same day / 1 day1–2 weeksComplex fistulas; sphincter-sparing
LIFT Procedure₹30,000 – ₹75,0001–2 days2–4 weeksIntersphincteric fistulas; preserves continence
Advancement Flap Repair₹40,000 – ₹1,00,0002–3 days4–6 weeksComplex/recurrent fistulas with high sphincter involvement
Seton Placement₹10,000 – ₹30,0001 dayStaged (8–12 weeks)Complex fistulas as first stage of treatment

Costs are approximate Chennai market ranges. Actual pricing varies by hospital, surgeon, and patient complexity.

Cost by Hospital Tier in Chennai

Hospital CategoryFistulotomyLaser (FiLaC)Seton Placement
Government₹15,000 – ₹30,000₹25,000 – ₹35,000₹10,000 – ₹20,000
Mid-Tier Private₹30,000 – ₹55,000₹35,000 – ₹55,000₹25,000 – ₹40,000
Premium Corporate₹55,000 – ₹80,000₹55,000 – ₹70,000₹50,000 – ₹75,000
Aggregator Platforms₹25,000 – ₹45,000₹30,000 – ₹50,000₹25,000 – ₹40,000

What Is Typically Included in the Package

Included

  • Pre-operative consultation and required blood tests
  • Surgeon's and anesthesiologist's fees
  • OT charges and specialised equipment
  • Hospital room for standard stay
  • Nursing care and medications during stay
  • First post-operative follow-up

Not Included

  • Advanced imaging beyond standard tests
  • Extended stay beyond package
  • Room upgrades
  • Complications management
  • Post-discharge medications

Key Factors That Affect Fistula Surgery Cost

1. Fistula Complexity and Type

Simple superficial fistulas (intersphincteric) cost less than complex trans-sphincteric, suprasphincteric, or extrasphincteric fistulas. Horseshoe fistulas and recurrent fistulas after failed previous surgery require more extensive procedures and cost significantly more.

2. Surgical Technique

Laser FiLaC (Fistula Laser Closure) uses a radial-emitting laser fiber to obliterate the fistula tract from within. The equipment cost and specialised training justify the premium over conventional fistulotomy. The LIFT procedure is a sphincter-sparing technique at mid-range pricing.

3. Need for MRI Fistulography

Complex or recurrent fistulas often require pre-operative MRI to map the tract and identify secondary extensions. This adds ₹5,000–₹15,000 but significantly improves surgical planning and reduces recurrence.

4. Surgeon's Specialisation

A dedicated proctologist or colorectal surgeon may charge higher fees. For complex fistulas, this specialisation often justifies the cost through lower recurrence rates.

5. Number of Tracts

Multiple fistula tracts or branching fistulas require longer operative time and may need a staged approach, increasing cost.

Insurance Coverage

Fistula surgery is covered by major health insurance providers as a medically necessary procedure. Both cashless and reimbursement claims are usually accepted. Eligible patients may also receive free treatment under CMCHIS and Ayushman Bharat at empanelled hospitals. At Unittas Hospital, our insurance desk supports claim documentation, cashless pre-authorisation, and TPA coordination.

EMI Payment Options

Unittas Hospital offers flexible EMI with 0% interest for select tenures over 3 to 24 months, with quick processing and minimal documentation.

Recovery After Fistula Surgery

Simple fistulotomy: 3–6 weeks for wound healing. Sitz baths 3–4 times daily. Wounds packed with gauze initially, then open healing. Return to desk work in 1–2 weeks.
Laser FiLaC: 1–2 weeks recovery. Minimal wound care. Return to work in 3–5 days. Lower pain compared to open surgery.
LIFT procedure: 2–4 weeks. Small wound that heals relatively quickly. Moderate post-operative discomfort managed with oral painkillers.
Seton drainage: Staged procedure over 8–12 weeks. Initial placement is minor surgery; seton is tightened periodically. Multiple clinic visits needed.

Our Specialists

Dr. Giridharan

MBBS, MS, DNB, PGDPH, FMAS, MMAS, FIAGES, EFIAGES

Senior Consultant General & Laparoscopic Surgeon

Available at Tambaram, Kelambakkam (OMR), and ECR branches.

Get Your Personalised Package Price

Transparent pricing with no hidden costs. Packages include consultation, tests, surgery, stay, medications, and first follow-up.

📞 044-4012-4012

Available at Tambaram | Kelambakkam (OMR) | ECR

Frequently Asked Questions

Fistula surgery in Chennai costs between ₹15,000 and ₹1,00,000. Open fistulotomy: ₹15,000–₹55,000. Laser FiLaC: ₹25,000–₹70,000. Advancement flap repair can cost up to ₹1,00,000.

Laser FiLaC offers less pain, quicker recovery (1–2 weeks vs 3–6 weeks), reduced bleeding, and better sphincter preservation. However, not every fistula is suitable for laser treatment. Simple, low-lying fistulas often respond very well to standard fistulotomy.

Yes. Fistula surgery is covered by all major health insurance companies as a medically necessary procedure. Cashless treatment is available at network hospitals with pre-authorisation.

In most cases, no. Anal fistulas rarely heal on their own because the internal opening continues to get infected. Antibiotics may temporarily control symptoms but cannot close the tract. Surgery is the only definitive cure.

Laser FiLaC is usually daycare (same-day discharge). Open fistulotomy: 1–2 days. Complex procedures: 2–3 days. Seton placement is a minor day procedure.

Recurrence rates vary: fistulotomy 2–8%, FiLaC laser 10–15%, LIFT 5–15%, advancement flap 10–20%. Accurate preoperative MRI mapping and experienced technique minimise recurrence.

The risk depends on technique and fistula type. Fistulotomy of a low-lying fistula has minimal risk. Sphincter-sparing techniques like LIFT and FiLaC were specifically developed to preserve continence.

Yes. Unittas Hospital offers EMI options with 0% interest for select tenures over 3–24 months.