I have anal skin tags and have had them since I had my takedown in 2002.  I have never considered having them removed.  The only challenge I've had is in keeping them VERY clean.  The itching is caused by seepage/leakage and not cleaning the area thoroughly, according to my surgeon.  So, I use wipes when out and my bidet when home.  I rarely have an itching problem.  If I do, I use a barrier cream to keep the seepage away from the tags......even putting some inside the anal opening....because one of my tags is internal.  I guess surgical removal is an option but it sounds challenging in itself.....like hemorrhoid removal......ouch!  Best wishes. 

I may have a skin tag, though I'm not sure. Saw my gastro for what I was thinking was an internal hemmeroid, but he couldn't really find it and thought it was more likely a skin tag. It large and bulbous, and becomes larger, more pronounced when I push to eliminate. Bleeds a lot. Protrudes at times, but not always. Does this sound like skin tag or hemmeroid? I'm not sure how to tell difference. He said he wouldn't recommend doing anything to remove it nor did he think my CR surgeon would want to touch it. Reason he said was that it would cause scarring and create more problems.  So, I'm back to hot baths to relieve pain. Other problem, main problem, is that this thing prevents me from evacuating fully, and necessitates more frequent BMs. Try to keep very clean, but do have itching at times. Would also love some ideas on dealing with this! Thanks!

I'd see what the surgeon says first. 

Jan