During the acute phase of a perianal abscess, the intense pain is mainly due to the formation of an abscess and pus pockets in the subcutaneous area around the anus. The pus within these cavities cannot rupture, causing localized skin nerves to experience pecking-like or jumping pain. The pain from a perianal abscess is generally unbearable for patients, necessitating prompt surgical treatment. The surgical approach for a perianal abscess primarily involves incision and drainage, followed by debridement of the abscess cavity. It is important to note that postoperative disinfection and dressing changes of the local wound are crucial to prevent false healing of the wound.