Hello Doctor It is always a delight to read from you. I am in good health and wealth… Thanks My fistula in ano is cured but I am still observing my self to be 100% certain. I am currently ensuring proper anal hygiene as I do not want to make any mistake that can result in a reoccurrence. Remember my last surgery in Nigeria was successful for years before it reoccurred again prompting my visit to Surat. I honestly thought that the last surgery in Nigeria will be the lfinal one after 3 previous surgeries by different professionals. My warmest regards to your team in Surat especially your wife and my main man Dr. Hiren. Kind Regards LONGJOHN IBIWARI +234 8072631217 Nigeria.