**9. Skin tags**

Anal skin tags are perianal skin excesses, resulting from repeated scarring, just as in case of healing from anal fissure or thrombosed external haemorrhoids, exacerbated by excess cleaning or rubbing. Affected patients are bothered by the skin excess, but usually do not complain about pain or bleeding.

Treatment includes the management of both the underlying cause and the skin lesion. The latter consists of skin tags excision easily performed as an office-based treatment, that should always follow the resolution of the underlying ano-rectal disease, to minimise the risk of recurrence.
