INTRODUCTION
Surgical Treatment is nowadays the first line of Treatment for Anal and Colorectal Disorders all over the World and before Audit was carried out, there were no resources to compare the surgical practice and outcome across various Hospitals.(1)
The prevalence of anal disorders requiring surgical treatment has not been previously documented and compared to recognized standards of care at Alexandria Main University Hospital.

AIM OF THE WORK
1. Establishment of audit for surgical management of anal disorders in Alexandria Main University Hospital.
2. Improve management of anal surgery in Alexandria Main University Hospital, through comparison of the practice with the standard; which is the ASCRS or European Society for Coloproctology practice guidelines for Anal Disorder management.

METHODS
Prospective data were obtained from 416 cases during the time of the study
In This Audit we are focusing not just on clinical outcome but also on Quality of Life for patient postoperatively, which was assessed using SF36 Questionnaire