How much does anal fistula surgery cost in Saudi Arabia?
Cash range at Mohammad Dossary Hospital, 2026: 5,000 – 9,000 SAR
Usually day-case or one night.
A fistula's price is decided by its map: a simple, low tract is one operation, while a complex tract crossing much of the sphincter is a careful, sometimes staged, campaign to cure the fistula without harming continence. At Mohammad Dossary Hospital, traditional surgical treatment sits at 5,000–7,000 SAR and laser closure (FiLaC), where the tract suits it, at 7,000–9,000 SAR. An MRI map of the tract is often the wisest money spent before either — it is what lets us promise you a plan instead of a surprise.
What moves this figure
- Complexity — simple and low vs complex, high, or branching tracts.
- MRI mapping of the tract before surgery.
- Staged treatment — a draining seton first, definitive surgery later.
- Technique — laying open, seton-based repair, or laser closure.
What the range usually includes
The surgeon's and anaesthetist's fees, theatre and the hospital stay, the pre-operative tests, standard medicines and dressings during the stay, and the first follow-up. It does not include intensive care, extra nights, or treatment of unrelated conditions — anything of that kind that becomes necessary is discussed with you as it arises, never discovered afterwards.
Questions patients ask us
Can an anal fistula heal on its own or with antibiotics?
Almost never. Antibiotics calm the infection around a fistula, but the tract itself is a formed tunnel that keeps re-infecting until it is dealt with surgically. Delay usually makes the map more complicated, not less.
Will my fistula come back after surgery?
Recurrence depends mostly on complexity — simple fistulas are usually cured in one operation, while complex ones may need more than one stage and carry a higher chance of return. Your MRI map lets us give you an honest expectation for your fistula, not a general statistic.
Most of our patients have their operation covered by insurance: medically necessary surgery — gallstones with symptoms, hernia, appendicitis — is generally covered after approval, with your co-payment set by your policy. Cosmetic and some bariatric indications are commonly excluded or need special approval. Send us your policy on WhatsApp before you book and we will tell you honestly what can be arranged. Self-pay patients receive the same written quotation; day-case timing, when safe, sits at the lower end of every range here.
The final figure always depends on several things: how advanced the condition is, the type of operation and the technique used, the instruments and devices the operation needs, the hospital, the surgeon, and the length of stay — which is exactly why your own figure is confirmed in writing, for your case, before you decide.
Cash ranges set by Dr Tamer Elalfy for Mohammad Dossary Hospital, November 2026. Every range includes the hospital stay and the pre-operative tests; where you sit inside it depends on your condition. Your exact figure is confirmed in writing at consultation — and that confirmation is free.