Fistula-in-ano is a complex anorectal condition that presents both diagnostic and therapeutic challenges. The management of complex anal fistulas requires a precise approach to prevent ?recurrence while preserving sphincter function. This research article presents a case report of apatient with a complex anal fistula treated with a combined approach utilizing Ligation of?Inter-sphincteric Fistula Tract (LIFT) and Fistula Laser Closure (FiLac). This dual approach effectively targeted both internal and external fistula tracts, promoting healing, reducing recurrence rates, and maintaining continence. This report provides a detailed description of thesurgical technique, post-operative outcomes, and a discussion on the efficacy of the FiLac and LIFT combination in managing complex fistula-in-ano.?