For some people, a healthy diet and lifestyle and over-the-counter medicines aren't enough to treat hemorrhoids.
There are also procedures that shrink or remove them, such as using a laser, that can be done in your doctor's office. Although these may hurt less and have fewer complications, surgery might be a better long-term choice, especially if your hemorrhoids are large and very painful or bleeding.
Hemorrhoid surgery is safe and effective most of the time. But you'll still need to eat a high-fiber diet, avoid constipation, and take care of your bottom to help prevent new hemorrhoid flare-ups.
Surgery to remove hemorrhoids is called hemorrhoidectomy. The doctor makes small cuts around the anus to slice them away.
You may get local anesthesia (the area being operated on is numb, and you're awake though relaxed) or general anesthesia (you're put to sleep). Hemorrhoidectomy is often an outpatient procedure, and you can usually go home the same day.

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