Benign anal or perianal conditions including haemorrhoids, anal fissures, perianal abscesses, and fistulae are commonly observed in general practice. This study carried out to evaluate the most common perianal conditions in adult patients of varying age treated surgically in a periphery general hospital, examining complications, recurrence and mortality rates. A prospective cross sectional study was conducted, at Almikhwah General Hospital, with a minimum follow-up of 6 months. A total of 75 patients subjected to surgical treatments for bengin perianal disease were eligible. Their mean age was 35.8 years, and male to female ratio was 1.8:1. The mean duration of symptoms was 35.6 days. The most common conditions were abscess and haemorrhoids that’s seen in 44% and 29% respectively, whereas, fistula in ano was the least (6.7%). The mean hospital stay was 2.1. Complication was encountered in 1.3%. The mean duration of analgesic use was 2.07. One year follow up revealed no recurrence or mortality. In conclusion, most patients presenting with anorectal symptoms will have benign anorectal pathology and can be successfully treated in the periphery hospital setting.