Surgical removal of hemorrhoids (hemorrhoidectomy) is recommended for third- and fourth-degree internal hemorrhoids (with or without external hemorrhoids) when conservative treatment measures fail to alleviate severe burning, itching, swelling, protrusion, bleeding, and pain. It is also recommended for external hemorrhoids when medical treatment has failed and symptoms persist.

Even though the anesthesia has worn off, most patients remain groggy for the rest of the day. Patients must arrange for a family member or friend to be with them if they are being discharged the same day as the surgery. Patients experience pain and discomfort during the immediate postoperative period (i.e., about 10 days). Pain medication is prescribed and should be taken as directed.