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Proctological surgery is being carried out increasingly on an outpatient basis. Reasons for this are safe anaestheticprocedures, short operation times and low complication rates. We performed a retrospective analysis of complication rates, symptom recurrence and long-term results after outpatientproctologic surgery in our hospital in the last 10 years.In all, 2840 patients were operated and followed up. Theprocedures included haemorrhoidectomy, anal fistulotomy, sphincterotomy, removal of rectal polyps, pilonidal sinotomy and anal stricturotomy. Procedures were performed under general anaesthesia or a regional block.Mean hospital stay was 7.3 hours (range 4-21). The overall complication rate was 2.5%, and included bleeding, urinary retention, infection, continence disturbance and recurrence.Outpatientproctological surgery can be safely performed with a low recurrence and complication rate whilst offering a high level of patient acceptance and satisfaction. However, appropriate disease diagnosis,proper patient selection and a round-the-clock availability nursing staff for advice are essential for successful outcome of theprocedure.