Patients who enquire about having anal skin tag removal have often had the condition for a long time and already been to see their GP for these anal skin tags. often despite their embarrassing nature these are not often taken seriously on and deemed as cosmetic and hence not available for treatment on the NHS. Good candidates for anal skin tag removal of patients who have realistic expectations of what the aim of the treatment is to achieve. This is primarily to remove any excess or protruding skin so that sexual confidence is greater and also feeling more hygienic in the area when cleaning.