After the diagnosis of an anal fistula, it is necessary to perform surgery on the anal fistula as soon as possible. The main surgical method for anal fistula is the fistulotomy with seton placement, which uses an elastic band to indirectly cut the local sphincter. The time for the elastic band to fall off mainly depends on the amount of sphincter involved and the depth of the anal fistula location. If it is a simple anal fistula, the band typically falls off about a week after placement. For high, complex fistulas, or if multiple elastic bands are used, the time may extend to ten or even twelve days. If the band does not fall off after the surgery, and the local sphincter has regenerated, a professional colorectal surgeon can cut the band. However, it is important to ensure that the local sphincter is not damaged before proceeding.