Hemorrhoids are swollen veins around the anus. They may be inside the anus (internal hemorrhoids) or outside the anus (external hemorrhoids).
Often hemorrhoids do not cause problems. But if hemorrhoids bleed a lot, cause pain, or become swollen, hard, and painful, surgery can remove them.
Hemorrhoid surgery can be done in your health care provider's office or in the hospital operating room. In most cases, you can go home the same day. The type of surgery you have depends on your symptoms and the location and size of the hemorrhoid.
Before the surgery, your doctor will numb the area so you can stay awake, but not feel anything. For some types of surgery, you may be given general anesthesia. This means you will be given medicine in your vein that puts you to sleep and keeps you pain-free during surgery.
Hemorrhoid surgery may involve:
Often you can manage small hemorrhoids by:
When these measures do not work and you are having bleeding and pain, your doctor may recommend hemorrhoid surgery.
Risks for this type of surgery include:
Several days before surgery, you may be asked to stop taking medicines that make it hard for your blood to clot. These medicines include:
Be sure to tell your provider:
On the day of your surgery:
You will usually go home the same day after your surgery. Be sure you arrange to have someone drive you home. You may have a lot of pain after surgery as the area tightens and relaxes. You may be given medicines to relieve pain.
Follow instructions on how to care for yourself at home.
Most people do very well after hemorrhoid surgery. You should recover fully in a few weeks, depending on how involved the surgery was.
You will need to continue with diet and lifestyle changes to help prevent the hemorrhoids from coming back.
Chaudhry V, Abcarian H. Hemorrhoids. In: Cameron JL, Cameron AM, eds. Current Surgical Therapy. 11th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 53.
Hall JF. Hemorrhoids and hemorrhoidectomy. In: Delaney CP, ed. Netter's Surgical Anatomy and Approaches. Philadelphia, PA: Elsevier Saunders; 2014:chap 26.
Last reviewed on: 4/5/2015
Reviewed by: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.