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When Is Surgery Needed for Chronic Constipation Complications

Chronic constipation is a common condition that is usually managed with diet, lifestyle changes, and medications. However, in some cases, long-standing constipation can lead to complications that may require surgical intervention.

When-Is-Surgery-Needed-for-Chronic-Constipation-ComplicationsWhen-Is-Surgery-Needed-for-Chronic-Constipation-Complications
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MEDICALLY REVIEWED CONTENT
Dr. Vipin Nagpal
🔍 REVIEWED BY
Dr. Vipin Nagpal
MBBS, MS-General Surgery
31+ Years Experience Overall
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Pristyn Care Team
✍ WRITTEN BY
Pristyn Care Team
Healthcare Expert
Updated On - April 17, 2026
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Fissure
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Constipation
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Understanding when surgery is needed for chronic constipation complications helps patients recognize serious symptoms early and seek appropriate care.

What Is Chronic Constipation?

Chronic constipation is characterized by:

  • Infrequent bowel movements (less than 3 per week)
  • Hard or difficult-to-pass stools
  • Straining during bowel movements
  • A feeling of incomplete evacuation

When untreated or severe, it can lead to complications.

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Common Complications of Chronic Constipation

1. Hemorrhoids (Piles)

  • Caused by prolonged straining
  • Leads to pain, swelling, and bleeding

2. Anal Fissure

  • Tear in the anal lining due to hard stools
  • Causes severe pain and bleeding

3. Rectal Prolapse

  • Rectum protrudes outside the anus
  • Seen in long-standing severe cases

4. Fecal Impaction

  • Hardened stool stuck in the rectum
  • May require medical or surgical removal

5. Megacolon or Colonic Dysfunction

  • Abnormal dilation or poor movement of the colon
  • Leads to severe, persistent symptoms

When Is Surgery Considered?

Surgery is usually the last option and is recommended when:

1. Failure of Medical Treatment

  • No improvement despite diet, medications, and lifestyle changes

2. Severe Structural Problems

  • Conditions like rectal prolapse or obstructed defecation

3. Recurrent or Complicated Fissures and Hemorrhoids

  • When conservative treatments fail

4. Fecal Impaction Not Responding to Treatment

  • Requires intervention to remove impacted stool

5. Slow Transit Constipation (Rare Cases)

  • Colon does not move stool effectively
  • Confirmed through specialized tests

6. Impact on Quality of Life

  • Persistent symptoms affecting daily activities and well-being

Types of Surgical Options

Depending on the underlying problem, procedures may include:

1. Surgery for Rectal Prolapse

  • Repair or repositioning of the rectum

2. Colectomy (Rare Cases)

  • Removal of part or all of the colon
  • Considered in severe slow transit constipation

3. Procedures for Fissures or Hemorrhoids

  • If complications arise from chronic straining

4. Removal of Fecal Impaction

  • In severe, non-responsive cases
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online dot green Doctor available
Dr. Lohit Sai K (xy7zPpNCza)

Dr. Lohit Sai K

MBBS, M.S.(Gen. Surgery), DNB (Gen. Surgery), F.MAS, D.MAS, FAIS, FALS, FIAGES

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

12+ Years Experience Overall

online dot green Doctor available
Dr. Tushar Goel (kesaynHhmY)

Dr. Tushar Goel

MBBS, MS-General Surgery, FMAS, DGE (Kiel Germany)

₹1200₹600Consultation Fee

star icon

4.9/5

medikit icon

12+ Years Experience Overall

online dot green Doctor available
Dr. Tagore .V (BAGVlvUCb7)

Dr. Tagore .V

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

12+ Years Experience Overall

online dot green Doctor available
Dr. A N M Owais Danish (1aVgsfk96E)

Dr. A N M Owais Danish

MBBS,MS

₹1200₹600Consultation Fee

star icon

4.8/5

medikit icon

12+ Years Experience Overall

online dot green Doctor available
Dr. Nelson V Junghare (oqrvqd8Myf)

Dr. Nelson V Junghare

MBBS, MS

₹1200₹600Consultation Fee

star icon

4.8/5

medikit icon

12+ Years Experience Overall

online dot green Doctor available
Dr. Soham Bhattacharjee (tchwwF7vCe)

Dr. Soham Bhattacharjee

MBBS, DNB, MRCS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

12+ Years Experience Overall

online dot green Doctor available
Dr. Shaju S (6obNxHbJe6)

Dr. Shaju S

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

11+ Years Experience Overall

online dot green Doctor available
Dr. Sharath A (5ogUoyymRn)

Dr. Sharath A

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

11+ Years Experience Overall

online dot green Doctor available
Dr. Anshul Bansal (XNnWm8QpTf)

Dr. Anshul Bansal

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

11+ Years Experience Overall

online dot green Doctor available
Dr. Majethiya Jalpesh (Evnw4bUXPe)

Dr. Majethiya Jalpesh

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.9/5

medikit icon

11+ Years Experience Overall

online dot green Doctor available
Dr. Manoop K (PUALb4IcDe)

Dr. Manoop K

MBBS, DNB-General Surgery, FMAS, FIAGES

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

10+ Years Experience Overall

online dot green Doctor available
Dr. Bezawada Umesh (pv3Zi1FGlV)

Dr. Bezawada Umesh

MD-physician, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

10+ Years Experience Overall

online dot green Doctor available
Dr. Naveenraj Sivakumar (waDLOFvDLH)

Dr. Naveenraj Sivakumar

MBBS, MS General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

10+ Years Experience Overall

online dot green Doctor available
Dr. Sankarshan Saha (RtVBCZ6mDM)

Dr. Sankarshan Saha

MD-Physician, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

8+ Years Experience Overall

online dot green Doctor available
Dr. Utkarsh Dhabarde (qbSkmFpo6K)

Dr. Utkarsh Dhabarde

MBBS, MS-General Surgery, FIAGES, FCLS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

8+ Years Experience Overall

online dot green Doctor available
Dr. Dhamodhara Kumar C.B (0lY84YRITy)

Dr. Dhamodhara Kumar C.B

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

27+ Years Experience Overall

online dot green Doctor available
Dr. Pravat Kumar Majumdar (Vx6AhE6uAv)

Dr. Pravat Kumar Majumdar

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

27+ Years Experience Overall

online dot green Doctor available
Dr. Vivek Girotra (0n4zcNVgWt)

Dr. Vivek Girotra

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

26+ Years Experience Overall

online dot green Doctor available
Dr. Vaibhav Jagannath Lokhande (3jL7Qf6FCo)

Dr. Vaibhav Jagannath Lokhande

MBBS, MS - General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

26+ Years Experience Overall

online dot green Doctor available
Dr. Vinod Rajkumar Thangavelu (ltBK0baAL3)

Dr. Vinod Rajkumar Thangavelu

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

24+ Years Experience Overall

online dot green Doctor available
Dr. Purav Goel (g3AcDQHKeZ)

Dr. Purav Goel

MBBS, MS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

23+ Years Experience Overall

online dot green Doctor available
Dr. Vishal Tukaram Diddi (rpSApPxjHc)

Dr. Vishal Tukaram Diddi

MBBS, MS-General Surgery & FCPS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

21+ Years Experience Overall

online dot green Doctor available
Dr. Suganya Sasikumar (ohhGA54xsb)

Dr. Suganya Sasikumar

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

21+ Years Experience Overall

online dot green Doctor available
Dr. Sudatta Bhimrao Waghmare (FnAEsqHYzd)

Dr. Sudatta Bhimrao Waghmare

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

21+ Years Experience Overall

online dot green Doctor available
Dr. Varun Gupta (t3cnNYCT47)

Dr. Varun Gupta

MBBS, MS - General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

20+ Years Experience Overall

online dot green Doctor available
Dr. Sree Kanth Matcha (8VEuoSlP1a)

Dr. Sree Kanth Matcha

MBBS, MS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

20+ Years Experience Overall

online dot green Doctor available
Dr. Prateek Patil (VhzPB4rUvS)

Dr. Prateek Patil

MBBS, MS-General Surgery

FREEConsultation Fee

star icon

4.5/5

medikit icon

19+ Years Experience Overall

online dot green Doctor available
Dr. Shashikiran B D (AI0B1ok5Gh)

Dr. Shashikiran B D

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

18+ Years Experience Overall

online dot green Doctor available
Dr. Sunil Joseph (B5VVoG3Azw)

Dr. Sunil Joseph

MBBS, MS, MMIP (Proctology)

₹1200₹600Consultation Fee

star icon

4.8/5

medikit icon

18+ Years Experience Overall

online dot green Doctor available
Dr. Nidhin Skariah (vftLhDikl9)

Dr. Nidhin Skariah

MBBS, MS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

15+ Years Experience Overall

online dot green Doctor available
Dr. Chetan Dayaram Rathod (yTS4wARC2i)

Dr. Chetan Dayaram Rathod

MBBS, MS-General Surgey

₹1000₹500Consultation Fee

star icon

5.0/5

medikit icon

14+ Years Experience Overall

online dot green Doctor available
Dr. Soumitra Manwatkar (4xYBdzKHQj)

Dr. Soumitra Manwatkar

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.9/5

medikit icon

14+ Years Experience Overall

online dot green Doctor available
Dr. Amish (zDz1BXActI)

Dr. Amish

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

14+ Years Experience Overall

online dot green Doctor available
Dr. Munesh Meena (RC2jtGFssm)

Dr. Munesh Meena

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

14+ Years Experience Overall

online dot green Doctor available
Dr. Chimakurti Durga Deepak (C1IhkTHI5H)

Dr. Chimakurti Durga Deepak

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

14+ Years Experience Overall

online dot green Doctor available
Dr. Vicky Kuldeep (fK9vscZXeu)

Dr. Vicky Kuldeep

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

13+ Years Experience Overall

online dot green Doctor available
Dr. M.Anand Kamalraj Abraham (DcNxAQYBPV)

Dr. M.Anand Kamalraj Abraham

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

13+ Years Experience Overall

online dot green Doctor available
Dr. K Lakshmi Chandra Sekhar (ZEKUgyGpkS)

Dr. K Lakshmi Chandra Sekhar

MBBS, MS- General Surgery

₹1200₹600Consultation Fee

star icon

4.9/5

medikit icon

13+ Years Experience Overall

online dot green Doctor available
Dr. Mahendra Kumar Meena (xe2f0SNG96)

Dr. Mahendra Kumar Meena

MBBS, MS-General Surgeon

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

11+ Years Experience Overall

online dot green Doctor available
Dr. Md Umar (kG7uJ6GPBI)

Dr. Md Umar

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

10+ Years Experience Overall

online dot green Doctor available
Dr. Agarwal Parth (EEBxRicpjq)

Dr. Agarwal Parth

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

10+ Years Experience Overall

online dot green Doctor available
Dr. Ajit Sheoran (PpLkmvUlaQ)

Dr. Ajit Sheoran

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

9+ Years Experience Overall

online dot green Doctor available
Dr. S Priyanka (0tFtdZ9W4n)

Dr. S Priyanka

MBBS, MS-General Surgeon

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

7+ Years Experience Overall

Pre-Surgical Evaluation

Before surgery, doctors perform:

  • Colonoscopy
  • Imaging tests
  • Motility studies (to assess bowel movement function)

This ensures the correct diagnosis and appropriate treatment.

Risks of Delaying Surgery

  • Worsening of symptoms
  • Increased complications
  • Reduced quality of life
  • More complex treatment later
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    Your Form has been submitted successfully.

    Our care coordinator will call you shortly.

    When Should You See a Doctor?

    • Constipation lasting for weeks or months
    • Severe straining or pain
    • Blood in stool
    • Sudden worsening of symptoms
    • No response to medications
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    Final Thoughts

    Most cases of chronic constipation can be managed without surgery. However, when complications develop or symptoms become severe and persistent, surgical treatment may be necessary.

    A thorough evaluation helps identify the underlying cause and ensures that surgery is considered only when truly needed, leading to better long-term outcomes and improved quality of life.

     

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    Proctology
    ","
    Pilonidal Sinus
    ","
    Piles
    ","
    Rectal Prolapse
    ","
    Fissure
    ","
    Fistula
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    Fecal Incontinence
    ","
    Constipation
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    Hemorrhoids
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    Laparoscopy
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    Umbilical Hernia
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    Hydrocele
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    Inguinal Hernia
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    Incisional Hernia
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    Appendicitis
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    Gallstone
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    Hernia
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    Achalasia Cardia
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    Acid Reflux Surgery
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    Large Intestine
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    ","
    Colonoscopy
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    Gastric Bypass Surgery
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    Gynaecology
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    Pain During Intercourse
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    Vaginoplasty
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    Labiaplasty
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    Vaginal Discharge
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    Laser Vaginal Tightening
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    Vaginal Dryness
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    Ovarian Cyst
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    Hysterectomy
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    Hysteroscopy
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    Pap Smear
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    Pelvic Pain
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    Female Urinary Problems
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    Lichen Sclerosus
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    Menstrual Disorders
    ","
    Preconception Care
    ","
    Uterine Fibroid
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    Pcos Pcod
    ","
    Pregnancy Care
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    Medical Termination Of Pregnancy
    ","
    Laser Vaginal Bleaching
    ","
    Anal Bleaching
    ","
    Vaginal Wart
    ","
    Molar Pregnancy
    ","
    Bartholin Cyst
    ","
    Miscarriage
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    Endometriosis
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    Polypectomy
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    ENT
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    Uvulopalatopharyngoplasty
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    Adenoidectomy
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    Myringotomy
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    Microlaryngeal
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    Mastoidectomy
    ","
    Tongue Base Reduction
    ","
    Tonsils Removal
    ","
    Deviated Nasal Septum
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    Eardrum Surgery
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    Sinus Surgery
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    Thyroidectomy
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    Tonsillectomy
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    Ear Surgery
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    Sinusitis
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    Tympanoplasty
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    Fess Surgery
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    Stapedectomy
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    Septoplasty
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    Tonsillitis
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    Adenoids
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    Hearing Problem
    ","
    Thyroid Infection
    ","
    Chronic Sinusitis
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    Recurrent Sinusitis
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    Subacute Sinusitis
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    Parotidectomy
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    Male Urinary Tract Infection
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    Prostate Enlargement
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    Phimosis
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    Paraphimosis
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    Foreskin Infection
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    Balanoposthitis
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    Frenuloplasty
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    Cystoscopy
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    Scar Removal
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    Acdf Surgery
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    "]" data-all-dropdown-items-arr="["Pilonidal Sinus","Piles","Rectal Prolapse","Fissure","Fistula","Fecal Incontinence","Constipation","Hemorrhoids","Umbilical Hernia","Hydrocele","Inguinal Hernia","Incisional Hernia","Appendicitis","Gallstone","Hernia","Achalasia Cardia","Acid Reflux Surgery","Large Intestine","Indirect Hernia","Small Intestine","Colonoscopy","Gastric Bypass Surgery","Pain During Intercourse","Vaginoplasty","Labiaplasty","Vaginal Discharge","Laser Vaginal Tightening","Vaginal Dryness","Ovarian Cyst","Hysterectomy","Hymenoplasty","Clitoral Hoodoplasty","Abortion","Hysteroscopy","Pap Smear","Vaginal Rejuvenation","Ectopic Pregnancy","Laser Vaginal Rejuvenation","Vaginal Recurrent Infection","Pelvic Pain","Female Urinary Problems","Lichen Sclerosus","Menstrual Disorders","Preconception Care","Uterine Fibroid","Pcos Pcod","Pregnancy Care","Medical Termination Of Pregnancy","Laser Vaginal Bleaching","Anal Bleaching","Vaginal Wart","Molar Pregnancy","Bartholin Cyst","Miscarriage","Endometriosis","Adenomyosis","Myomectomy","Dilation And Evacuation (D&E)","Polypectomy","Turbinate Reduction","Uvulopalatopharyngoplasty","Adenoidectomy","Myringotomy","Microlaryngeal","Mastoidectomy","Tongue Base Reduction","Tonsils Removal","Deviated Nasal Septum","Eardrum Surgery","Sinus Surgery","Thyroidectomy","Tonsillectomy","Ear Surgery","Sinusitis","Tympanoplasty","Fess Surgery","Stapedectomy","Septoplasty","Tonsillitis","Adenoids","Hearing Problem","Thyroid Infection","Chronic Sinusitis","Recurrent Sinusitis","Subacute Sinusitis","Mastoiditis","Parotidectomy","Nose Surgery","Vocal Cord Polyps","Adenotonsillectomy","Otitis Media","Nasal Polyps","Turbinoplasty","Ear Infection","Ear Hole","Throat Infection","Middle Ear Perforation","Urinary Tract Infection","Urinary Incontinence","Erectile Dysfunction","Urethral Stricture","Stress Urinary Incontinence","Circumcision","Kidney Stones","Male Urinary Tract Infection","Prostate Enlargement","Phimosis","Paraphimosis","Foreskin Infection","Balanoposthitis","Balanitis","Frenuloplasty","Cystoscopy","Cystolithotripsy","DJ Stent","cystolithotomy","Urethral Stricture","pyeloplasty","nephrostomy","Varicose Veins","Varicocele","Diabetic Foot Ulcer","AV Fistula For Dialysis","Deep Vein Thrombosis","Spider Veins","Gynecomastia","Liposuction","Lipoma","Hair Transplant","Sebaceous Cyst","Breast Lift","Rhinoplasty","Breast Reduction","Breast Augmentation","Breast Lump","Hair Loss","Breast Surgery","Axillary Breast","Scar Removal","Abdominoplasty","Double Chin","Buccal Fat","Earlobe Repair","Blepharoplasty","Carpal Tunnel Syndrome","Knee Replacement","Spine Surgery","Hip Replacement","Arthroscopy","ACL Tear","Rotator Cuff Repair","Bankart Surgery","Bankart Repair","Meniscus Repair Surgery","Shoulder Replacement Surgery","Discectomy","Laminectomy","Acdf Surgery","Spinal Fusion","Ligament Injury","Knee Arthroscopy","Shoulder Arthroscopy","Lasik","Cataract","Squint Surgery","Glaucoma Surgery","Retinal Detachment Surgery","Diabetic Retinopathy Treatment","Intravitreal Injections","Vitrectomy","Monofocal Lens","Multifocal Lens","Toric Lens","PRK Lasik","Smile Lasik Surgery","Femto Lasik Surgery","ICL Surgery","Macular Edema","Retinal Surgery","Contoura Vision","Phaco Surgery","Pterygium","Teeth Alignment (Fix)","Dental Others","Crossbite Teeth","Overbite Teeth","Openbite Teeth","Bariatric Surgery","Intragastric Balloon"]">

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