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ty of management strategies.The developmental milestones are a set of goals or markers that a child is set to achieve from infancy to childhood. They are categorized into 5 domains gross motor, fine motor, language, cognitive, and social-emotional and behavioral. Knowing and identifying the developmental milestones can help the pediatrician and healthcare providers to recognize delayed development, and early identification would allow for timely referral to the appropriate services. Typical MilestonesA fistula-in-ano is an epithelial