Start with a point $A$ on the conic, join it with $P$, we get a line $AP$. Now consider the line perpendicular to $PA$ through $P$, cutting the conic in a second point $A'$. To show that the lines $AA'$, as $A$ varies, pass through a fixed point.
The map $A\to A'$ is a projective transformation from the conic to itself ( a non-singular conic is isomorphic to the projective line, so the notion of "projective transformation" makes sense). Moreover, it is an involution.
Now, we will prove the fact above for an involution of the non-singular conic $\mathcal{C}$, that is not the identity).
So, consider $\phi\colon \mathcal{C} \to \mathcal{C}$ an involution. To show that there exists a point $P'$ such that $A \phi(A)$ passes through the point $P'$, for all $A$. In other works, we need to show that the involution $\phi$ is given by "projection through" $P'$.
Now, consider two points on $\mathcal{C}$, $A$, $B$, not in involution $\phi$. The lines $A \phi(A)$, and $B \phi(B)$ intersect in a point $P'$. Now the two involutions, $\phi$, and the projection through $P'$, coincide at $A$, and at $B$. So they must be the same map.
( Note: $\mathcal{C}$ is iso to $\mathbb{P}^1$. The involutions of $\mathbb{P}^1$ are of the form $t \leftrightarrow t'$, with $a t t' + b(t+t') + c = 0$, so are determined by the images at two points)
Obs: the Frégier map determined by $P$, being an involution of $\mathcal{C}$, will have fixed points, but those are not real.