%0 Journal Article %T Condyloma and Anal Dysplasia. %A Haviland SM %A O'Donnell MT %J Surg Clin North Am %V 104 %N 3 %D 2024 Jun %M 38677817 %F 3.537 %R 10.1016/j.suc.2023.11.004 %X Anal intraepithelial neoplasia (AIN) are precancerous lesions and are sequela of human papilloma virus (HPV) infection. AIN is classified as low-grade squamous intraepithelial lesion or high-grade squamous intraepithelial lesion. Screening with anal cytology and anoscopy should be considered for high-risk populations. Diagnosis is made through high resolution anaoscopy and biopsy. Options for treatment include ablation and several topical therapies; however, recurrence rates are high for all treatment options, and an ongoing surveillance is necessary to prevent progression to anal squamous cell carcinoma. HPV vaccination is recommended to prevent disease.