This presentation discusses the diagnosis and management of anorectal abscesses. It begins with an overview of patient complaints and clinical findings such as perianal discomfort, swelling, and drainage. Differential diagnoses and workup are then reviewed, including imaging tests. The presentation describes the anatomy of the anorectal region and classifications of abscess types. Etiology is often cryptoglandular or related to infection, irritation, or immunocompromised states. Pathophysiology involves infection breaching the internal sphincter barrier. Management involves early surgical drainage along with antibiotic therapy to prevent complications like fistula or stricture formation. Prognosis is generally good but recurrence and fistula development occur in around 50% of cases.