ColoWell America | Proctology and Aesthetics Care

Hearing that you might need surgery for your hemorrhoids can be daunting, but don’t let it discourage you. Hemorrhoids are incredibly common, and in many cases, they develop due to factors beyond our control. If medications, lifestyle adjustments, and dietary changes haven’t provided relief, surgery might be your best option for long-term comfort, and that’s a step in the right direction!

At ColoWell America, our board-certified colorectal specialists under the guidance of Dr. Shiraz Farooq are extensively trained in minimally invasive surgical techniques, ensuring that your procedure is as swift, effective, and pain-free as possible.

If you’re considering hemorrhoid surgery, here’s an in-depth look at the three primary surgical options available.

hemorrhoid pain illustration

Option 1: Hemorrhoidectomy – The Gold Standard for Severe Cases

Complex hemorrhoid surgery, also known as hemorrhoidectomy, is the preferred solution for patients with severe, persistent, or recurrent hemorrhoids that have not responded to conservative treatments. This advanced procedure involves the surgical removal of hemorrhoidal tissue and is capable of effectively treating both internal and external hemorrhoids, including large or thrombosed cases. While it offers a permanent solution, it is typically performed under anesthesia and requires a longer recovery period compared to minimally invasive options. Recovery usually takes two to four weeks, during which patients may experience more significant discomfort initially. However, with proper pain management and strict adherence to post-operative care instructions, healing progresses steadily and outcomes are highly successful.

Option 2: Hemorrhoid Banding – A Simple, Non-Surgical Fix

Hemorrhoid banding, also known as Rubber Band Ligation (RBL), is a minimally invasive outpatient procedure requiring only local anesthesia. This method is ideal for treating smaller, internal hemorrhoids.

How does it work? Your doctor uses a specialized instrument to pull the hemorrhoid tissue away from the anal wall and secures a tiny rubber band around its base. This band cuts off blood flow, causing the hemorrhoid to shrink and fall off within a few days.

 What to Expect:

  • The procedure takes just a few minutes and requires no downtime.
  • It’s recommended to treat only one or two hemorrhoids per session to prevent excessive discomfort. If multiple hemorrhoids exist, additional treatments are spaced 4 to 6 weeks apart for optimal healing.
  • Mild discomfort and a sensation of fullness in the rectal area may occur for a day or two post-procedure, but pain is generally minimal.

Pro Tip: Avoid heavy lifting and straining for a few days after banding to prevent complications.

hemorrhoid surgery option rubber band ligation steps illustration

Option 3: The THD System – A Revolutionary, Low-Pain Alternative

The Transanal Hemorrhoidal Dearterialization (THD) System is a cutting-edge technique that provides a quick recovery, minimal pain, and no tissue removal. This option is ideal for patients seeking a less invasive solution with long-lasting results.

How It Works:


A Doppler ultrasound probe is used to identify the precise branches of the hemorrhoid arteries. Once located, the surgeon ties off these arteries to cut off blood supply. To restore the tissue to its natural position, a technique called Hemorrhoidopexy is performed, which lifts and secures the excess tissue without the need for removal.

 Why Choose THD?

  • No excision of tissue = significantly less post-op pain
  • Outpatient procedure (typically done within 30 minutes)
  • Patients usually resume normal activities in 3 days
  • Lower risk of recurrence compared to some traditional methods
hemorrhoid surgery option THD steps illustration

Which Hemorrhoid Surgery Option Is Best for You?

Choosing the right procedure depends on several factors, including hemorrhoid severity, frequency of recurrence, pain levels, and overall health. Here’s a quick guide to help you decide:

🔹 If you have severe or large hemorrhoids: Hemorrhoidectomy is the most effective long-term solution.
🔹 If you prefer a non-surgical approach: Hemorrhoid Banding is a great option for smaller, internal hemorrhoids.
🔹 If you want minimal pain and a fast recovery: The THD System provides long-lasting relief with less discomfort.

Don't Let Hemorrhoids Rule Your Life; Find Relief Today!

While hemorrhoids are a nuisance, modern medical advancements make them highly treatable. If home remedies haven’t worked and your symptoms persist, it’s time to consider a more permanent solution.

At ColoWell America, we specialize in advanced, patient-centered treatments to help you regain your comfort and quality of life. Whether you need a traditional Hemorrhoidectomy, a non-invasive rubber band ligation, or the innovative THD system, our team is here to provide compassionate, expert care.

Schedule a consultation today and take the first step!

-Disclaimer-

The information provided on this website is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider regarding any medical concerns, conditions, or treatment options. Individual results may vary. The information provided or services described are not intended to diagnose, treat, cure, or prevent any disease. Any medical or aesthetic procedure should be discussed thoroughly with a licensed professional before beginning treatment.

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