Chronic anal fissures are a significant cause of anorectal pain and discomfort, frequently leading to a diminished quality of life. When conservative treatments fail, surgical interventions become necessary, with lateral internal sphincterotomy (LIS) being the traditional standard. However, advancements in medical technology have introduced laser sphincterotomy, a minimally invasive procedure, as an alternative. This case report discusses the treatment of a 45-year-old male with a chronic anal fissure who underwent laser sphincterotomy. The report covers the patient's clinical presentation, procedural details, postoperative outcomes, and a review of the current literature, highlighting the potential benefits and risks of laser sphincterotomy in comparison to traditional methods.