The treatment of fistulo in ano necessitates a jaw-dropping experience. You are not allowed to play a "one trick pony" surgeon, since controlled arrogance does not help here, indeed. Check and balance method will improve your ability to solve the patients' problems. Do not avoid to control your patients, because they know more than the books do. Let your patients be your teachers. They should not be out of sight and out of mind. We have tried not to drown folks with unnecessary material in the present book of disorderly conduct. Do not hesitate to operate on the previously operated patients, since nothing ventured nothing gained. Since fistulo in ano is an ancient disease that tests the patience of both the patients and the most experienced surgeons, most of the surgeons avoid to treat or fake it untill they make it. Therefore tampering the fistulo in ano makes the one-eyed man the king in the country of blind. Learned helplessness in fistulo in ano should not be a glass ceiling for surgeons, because both the disease in a patient and a forgotten treatment modality can recur like a phoenix bird hatching through its ashes. Faith can move mountains.