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Aim As the understanding of anal dysplasia continues to develop, controversy remains regarding treatment of these lesions. The purpose of this study was to evaluate lesion type (flat versus exophytic) and the association between morphology and dysplasia. Methods This is a single-centre retrospective analysis of a prospectively collected pathological database of patients 17 years old who underwent operative excision/biopsies for presumed anal condyloma or dysplasia from 2009-2018. Analysis includes comparisons between patient factors,