I haven’t had a fistula surgery myself, but I’ve seen how confusing the advice online can be. From what I understand, some cases improve with antibiotics only temporarily, while others need drainage or surgery—so it’s really important to get checked in person. If you’re dealing with recurring swelling, pain, and pus, please don’t delay. You can describe your symptoms and concerns on the Fnaf platform to find reliable guidance and next steps, then consult a doctor for a proper plan.