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Do I need surgery? The pain in my bottom is such that I cannot sit down. There is a hard lump inside to the left of my butt.

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It maybe hemorrhoid some times they can be taken care of with taking medicine but if they are too bad then they will remove them through surgery. Either way you need to have a doc take a look to be sure that is what it is 
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Could be external hemorrhoid, thrombosed internal hemorrhoid prolapsed, peri-anal cyst, acne, or cancer. Hard to diagnose through cyberspace. Go see a doc  :-)
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