About 24 months ago along came a fissure. I have had a number of sports related injuries over the years and surgery rebuilds knees etc. The pain from a complete knee job does not match that of a daily fissure. So I went for the operation on my fissure as living with it was near impossible. That was about 14 months ago. After the operation I did not take enough stool softeners and tore things again on my first bowl movement. I thought I screwed up the work the doc did and was really bummed out. Well I found jacks page and read every article. I used many of the suggested remedies and within a few months things were good, the operation I considered a success and no fissure at all. BUT now (14months after the op) I am back. For those who think they have the the little sucker (fissure that is) licked LISTEN UP. They come back. Even with an operation. Here is my theory. After the operation I did a least 1 docusate a day, two tablespoons of metamucil, B&C marrow oinment, Gotu Kola vitamin lots of prunes and other fruits and lots of water. Life was good. Well I went off the Guta Kola (just a pain to get) stopped the B&C oinment, and finally weaned off the docusate. Then I got really busy at work, little sleep, bad eating, lots of air travel (my doc had said this was bad), less exercise and VIOLA it came back. I hope that my knowledge (all found on this site) will get me back to normal without another surgery. I am going back to my diet and NEVER stopping. Nothing personal but hope not to be back at this site!