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.
Transparent pricing with no hidden costs. Packages include consultation, tests, surgery, stay, medications, and first follow-up.
📞 044-4012-4012Available at Tambaram | Kelambakkam (OMR) | ECR
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.
| Procedure | Cost Range | Hospital Stay | Recovery | Best For |
|---|---|---|---|---|
| Fistulotomy (Open) | ₹15,000 – ₹55,000 | 1–2 days | 3–6 weeks | Simple, superficial fistulas |
| Fistulectomy | ₹20,000 – ₹65,000 | 1–2 days | 4–8 weeks | Complete excision for tracts with branches |
| Laser Fistula Surgery (FiLaC) | ₹25,000 – ₹70,000 | Same day / 1 day | 1–2 weeks | Complex fistulas; sphincter-sparing |
| LIFT Procedure | ₹30,000 – ₹75,000 | 1–2 days | 2–4 weeks | Intersphincteric fistulas; preserves continence |
| Advancement Flap Repair | ₹40,000 – ₹1,00,000 | 2–3 days | 4–6 weeks | Complex/recurrent fistulas with high sphincter involvement |
| Seton Placement | ₹10,000 – ₹30,000 | 1 day | Staged (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.
| Hospital Category | Fistulotomy | Laser (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 |
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.
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.
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.
A dedicated proctologist or colorectal surgeon may charge higher fees. For complex fistulas, this specialisation often justifies the cost through lower recurrence rates.
Multiple fistula tracts or branching fistulas require longer operative time and may need a staged approach, increasing cost.
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.
Unittas Hospital offers flexible EMI with 0% interest for select tenures over 3 to 24 months, with quick processing and minimal documentation.
MBBS, MS, DNB, PGDPH, FMAS, MMAS, FIAGES, EFIAGES
Senior Consultant General & Laparoscopic Surgeon
Available at Tambaram, Kelambakkam (OMR), and ECR branches.
Transparent pricing with no hidden costs. Packages include consultation, tests, surgery, stay, medications, and first follow-up.
📞 044-4012-4012Available at Tambaram | Kelambakkam (OMR) | ECR
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.