Anal tags causing itching, anxiety or hygienic issues can usually be removed. An anoscopy may enable the physician to identify the cause or find other lesions. If tags are small, local anesthetic is injected, and the area is cut out. A radiofrequency device is used to get rid of skin tabs and resurface the anal area to acquire a good cosmetic result. If the patient need a hemorrhoidectomy, anal tags can be removed together as part of hemorrhoidectomy. If the anal tag is extensive, two stages of surgery may be necessary.