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.

Surgery

Hemorrhoid surgery can be done in your healthcare 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.

A Hemorrhoidectomy will involve:

- Using a knife (scalpel) to remove hemorrhoids; you may or may not have stitches

After the Hemorrhoidectomy, you will 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 will be given medicines to relieve pain. Buy and over the counter stool softener to begin while you are on pain medications.

Follow instructions on how to care for yourself at home.
- after bowel movements take sitz baths or shower to clean the area

Outlook

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.