Perianal abscesses represent a prevalent surgical condition, with an estimated 100,000 cases reported annually in the United States1. However, the actual incidence may surpass this figure since certain patients are managed solely with antibiotics in outpatient settings and some abscesses resolve spontaneously2. The average age of patients presenting with perianal abscesses is around 40 years, and males have a twofold higher likelihood of developing them compared to females3. The predominant pathogenesis of most perianal abscesses involves an infection of the cryptoglandular epithelium lining the anal canal4. While up to 90% of cases of perianal abscess are idiopathic, known risk factors include smoking, inflammatory bowel disease, and HIV4,5. On the other hand, there is no reported link between perianal abscesses and poor personal hygiene6. The standard recommended treatment is surgical drainage, ideally performed within 24 hours of diagnosis. Current evidence suggests that adding antibiotic treatment post-drainage does not improve success rates nor mitigate recurrence rates7,8. Nevertheless, in diabetic patients with a perianal abscess, research shows it is advisable to consider post-drainage antibiotic administration9. Despite the prevalent nature of perianal abscesses and their substantial impact on quality of life, numerous facets of the condition remain inadequately explored. For instance, the potential seasonal variation in perianal abscess occurrences, as it exists for other surgical conditions such as appendicitis. Similarly scant research has delved into the specific pathogens implicated in the disease and their correlation with complication rates. This study aimed to investigate the role of microbiology and other variables in hospital length of stay, among patients with perianal abscesses, as well as assess possible differences between male and female patients.