Hemorrhoids, also known as piles, are swollen and inflamed veins located in the lower rectum or around the anus. While they’re incredibly common, especially in adults over 40, they can cause significant discomfort and disrupt daily life when left untreated.
If you’ve tried conservative remedies without success, you may wonder: Is surgery really worth it? In this blog, we’ll break down everything you need to know about haemorrhoid surgery, from when it’s considered and what it involves to the benefits and possible risks.
Conservative Treatments
Most people begin by managing haemorrhoids at home. Lifestyle adjustments and over-the-counter solutions often help, especially in mild cases. These include:
- Increasing fibre and fluid intake
- Using topical creams or ointments
- Taking sitz baths
- Avoiding prolonged sitting or straining
- Procedures like rubber band ligation or infrared coagulation
However, not all cases respond to these methods. That’s when surgery becomes a potential next step.
When Hemorrhoid Surgery Might Be Considered?
Surgery isn’t the first option for everyone. But in certain situations, it becomes not only necessary but also the most effective way to regain comfort and quality of life.
1. Severe Symptoms Impacting Daily Life
When hemorrhoids cause ongoing bleeding, intense pain, noticeable swelling, or constant itching, and these symptoms start interfering with normal daily activities, surgery may be the best solution. These signs often indicate advanced stages of haemorrhoidal disease.
2. No Improvement with Conservative Care
If you’ve tried diet changes, fibre supplements, sitz baths, or non-surgical treatments for several weeks (or even months) without noticeable relief, it’s a strong signal that the problem may require surgical intervention.
3. Advanced-Stage (Grade III or IV) Hemorrhoids
Haemorrhoids are graded by severity. Grade III or IV refers to those that prolapse—meaning they bulge out of the anus and may not retract on their own. In such cases, surgical removal is usually the only effective option.
4. External Hemorrhoids or Skin Tags
External haemorrhoids can be especially bothersome if they’re large, painful, or cause hygiene issues. Sometimes they leave behind excess skin (known as skin tags), which may also require surgical removal for both medical and cosmetic reasons.
Types of Haemorrhoid Surgery
There are different surgical options depending on the type and severity of hemorrhoids:
- Traditional Haemorrhoidectomy: The most common and effective surgical method, where hemorrhoids are completely cut out. Best for severe or recurring cases.
- Stapled Hemorrhoidopexy: This procedure involves repositioning the hemorrhoids and cutting off their blood supply. It’s less painful but not suitable for all types.
- Laser Hemorrhoid Surgery: A modern, minimally invasive method using laser energy to shrink the haemorrhoids. It’s associated with quicker recovery and less discomfort.
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Is Hemorrhoid Surgery Worth It?
In many cases, yes, it is.
If you’ve tried everything and your symptoms still persist, or if your haemorrhoids are advanced and affecting your quality of life, surgery can offer long-term relief and peace of mind. Modern surgical techniques are safer, quicker, and more effective than ever before.
Of course, the decision is personal and should be made with guidance from a qualified specialist. It’s about weighing your symptoms, lifestyle, and comfort against the benefits and risks of the procedure.
Who May Not Be a Good Candidate for Surgery?
Surgery isn’t the right option for everyone. You may not be recommended for hemorrhoid surgery if:
1. You’re Pregnant
During pregnancy, hemorrhoids often develop due to hormonal changes and pressure from the growing baby. These usually improve after delivery with proper care and don’t always need surgery.
2. Your Symptoms Can Be Managed with Lifestyle Changes
In early or mild cases, a high-fibre diet, plenty of water, and avoiding straining can reduce or eliminate symptoms. Surgery may not be needed at this stage.
3. You’re Taking Certain Medications
If you’re on blood thinners or other medications that increase bleeding risks, your doctor may postpone or avoid surgery altogether due to potential complications.
4. Your Hemorrhoids Are Small
If the haemorrhoids are not large or problematic, less invasive treatments like rubber banding ligation or topical therapy are often preferred.
5. You’ve Recently Had a Serious Infection
Recovering from a major illness or infection can temporarily weaken the immune system. In such cases, it’s safer to wait until you’re fully recovered before considering surgery.
Advantages of Hemorrhoid Surgery
Surgical treatment offers several key benefits, especially for those who’ve struggled with severe or recurring hemorrhoids.
1. Highly Effective for Severe Cases
For people with large, prolapsing, or thrombosed hemorrhoids, haemorrhoidectomy offers a direct and reliable solution. It removes the problem at its root, unlike topical treatments that only provide temporary relief.
2. Significantly Reduced Risk of Recurrence
While lifestyle factors can still influence future flare-ups, surgical removal dramatically lowers the chances of haemorrhoids returning, especially when compared to non-surgical methods.
3. Rapid and Lasting Symptom Relief
Patients often experience immediate improvement in bleeding, swelling, and pain following recovery. This can be life-changing, especially for those who’ve suffered for months or even years.
4. Complete Elimination of Hemorrhoids
Unlike treatments that shrink or manage haemorrhoids, surgery aims to remove them entirely. This can be particularly important for patients with large or multiple haemorrhoids.
5. Improved Daily Comfort and Quality of Life
Once healed, patients typically report better bowel movements, less discomfort while sitting, and improved overall well-being. It restores confidence and comfort, especially for those who were embarrassed or limited by their symptoms.
What to Expect During Recovery?
Recovery depends on the type of surgery performed. Traditional hemorrhoidectomy often requires a few weeks of downtime, while laser and stapled methods may allow you to return to normal activities in just a few days.
RELATED: Hemorrhoidectomy Operation Recovery: What To Expect
Some discomfort during healing is normal, but it can be managed with pain relief, warm baths, and a high-fibre diet. It’s essential to follow post-operative instructions closely to support smooth healing.
Final Thoughts
Living with haemorrhoids doesn’t have to be your normal. While not everyone will need surgery, it can be a life-changing solution for those who do. If you’re unsure about your next step, speak with a healthcare professional who can assess your condition and recommend the best course of action tailored to your needs.
Frequently Asked Questions
1. Is it a good idea to get hemorrhoids removed?
Most people with hemorrhoids don’t need surgery. But if your symptoms are severe or other treatments haven’t helped, your doctor may suggest a procedure called a hemorrhoidectomy, which involves removing the hemorrhoids completely. It can be a good option if you’re looking for long-lasting relief, especially for large or persistent haemorrhoids.
2. How effective is hemorrhoid surgery?
Haemorrhoid surgery is very successful, about 95% of patients get long-term relief, especially when other treatments haven’t worked. Many people choose this procedure to get rid of their haemorrhoids for good and stop dealing with recurring discomfort.
3. Can I live with hemorrhoids without surgery?
Yes, you can, especially if the symptoms are mild. In many cases, making simple changes like eating more fibre, drinking plenty of water, and using over-the-counter creams can help control the symptoms. These remedies often work well during flare-ups and can help prevent haemorrhoids from getting worse.
4. How do I know if I need surgery for my haemorrhoids?
If you’re dealing with intense pain, bleeding, or discomfort that doesn’t improve after a week or two of home care, it’s a good idea to see a specialist. You might also need surgery if you feel pain when sitting or walking, or if the haemorrhoids keep coming back despite trying other treatments.
