BACKGROUND: Fissure-in-ano (Parikartika) is a common anorectal condition characterized by a painful tear in the anal mucosa, often associated with constipation and straining during defecation. Postpartum women are particularly vulnerable to this condition due to the physiological and hormonal changes that occur during and after pregnancy. The increased pressure on the pelvic floor, hormonal fluctuations affecting bowel movements, and the trauma of childbirth contribute to the development of fissure-in-ano during the postpartum period. OBJECTIVE: This abstract aims to review the risk factors, and management strategies for fissure-in-ano in postpartum females, highlighting the importance of early diagnosis and intervention to prevent chronicity and improve quality of life. METHODOLOGY: A comprehensive review of the literature was conducted, focusing on studies that investigate the incidence of fissure-in-ano in postpartum women, the underlying risk factors, and the effectiveness of various treatment modalities. Clinical guidelines and case reports were also examined to provide a holistic understanding of the condition. CONCLUSION: Fissure-in-ano is a common but often overlooked complication in postpartum females. Early recognition and a multidisciplinary approach to management, including both conventional and alternative therapies, can significantly reduce pain, prevent chronic fissures, and improve the overall well-being of postpartum women. Further research is needed to establish standardized treatment protocols and explore the long-term outcomes of various therapeutic interventions.