A hemorrhoidectomy is a very common and highly successful traditional surgery for piles.

• What it is: The surgical removal of hemorrhoids.

• How it works: Under anesthesia, a surgeon completely excises (cuts out) the swollen, inflamed veins and tissues that are causing your pain and bleeding.

• When to opt for it: This approach is necessary for severe, prolapsed, or extremely painful internal/external piles.

• Benefits: It is considered a standard, safe, and effective method to permanently resolve the issue.

This is an alternative to traditional excision, often referred to simply as “stapling.”

• What it is: A modern surgical procedure used to treat hemorrhoids.

• How it works: Instead of cutting the tissue away, the surgeon uses a specialized circular stapling device. This pulls the prolapsed (dropped) tissue back up into its normal position inside the rectum and cuts off the blood supply, causing the piles to shrink over time.

• When to opt for it: Much like a hemorrhoidectomy, it is utilized for severe, prolapsed, or extremely painful internal/external piles.

• Benefits: It is a standard, safe, and effective method to permanently resolve the issue.

When a fissure refuses to heal because the anal muscles are locked in a continuous, painful spasm, this surgery breaks the cycle of pain.

• What it is: A minor, safe surgical procedure that is performed to release the tension in the anal muscle.

• How it works: The surgeon makes a very small, precise incision in the internal anal sphincter muscle to relax it and reduce the resting pressure of the anal canal.

• When to opt for it: This is highly recommended for severe fissures that do not respond to other treatments.

• Benefits: This permanently stops spasms and allows the tear to heal completely.