Types of Piles Surgery: Which One Is Best for You?
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Types of Piles Surgery: Which One Is Best for You?

Niviya
Updated on March 13, 2025

Medically verified by Dr. Arya

Fact checked by Dr. Fazeela

Proctology
10 minutes
Piles, also known as hemorrhoids, are swollen veins in the lower rectum or anus. They can cause discomfort, bleeding, and irritation, affecting daily life significantly. For severe cases where non-surgical treatments fail, piles surgery becomes the most effective solution. This blog by Karepedia explores the types of piles surgery, their procedures, costs, risks, and recovery processes to help you decide the best surgery for piles.
Understanding Piles and When Surgery Is Needed
Piles can be internal or external, depending on their location. Mild piles often respond well to non-surgical treatments like dietary changes, medications, and lifestyle modifications. However, when symptoms become severe, persistent, or cause complications such as thrombosis or strangulation, piles surgery is usually recommended.
Types of Piles Surgery
1. Laser Surgery for Piles
Laser surgery for piles is a minimally invasive technique where a focused laser beam shrinks or removes the hemorrhoids. This procedure causes minimal bleeding, pain, and post-operative complications. Patients undergoing laser surgery for piles typically experience a faster recovery compared to traditional methods.
Advantages of Laser Surgery for Piles
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Minimal pain and bleeding
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Faster recovery time
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Day-care procedure with same-day discharge
2. Hemorrhoidectomy
A hemorrhoidectomy is a traditional piles removal surgery where the surgeon excises the hemorrhoidal tissue. This surgery is considered the most effective for large or prolapsed piles.
Advantages of Hemorrhoidectomy
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Permanent solution for severe piles
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Reduces risk of recurrence
3. Stapled Hemorrhoidopexy (PPH)
Stapled hemorrhoidopexy, also known as Procedure for Prolapse and Hemorrhoids (PPH), involves using a circular stapler to reposition and fix the hemorrhoids. This method is less painful compared to hemorrhoidectomy.
Advantages of Stapled Hemorrhoidopexy
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Less postoperative pain
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Shorter recovery time
4. Sclerotherapy and Rubber Band Ligation
These are outpatient, non-invasive piles surgery options used for smaller hemorrhoids. Sclerotherapy involves injecting a chemical solution into the hemorrhoid, causing it to shrink. Rubber band ligation involves placing a tight band around the hemorrhoid, cutting off its blood supply.
Advantages of Sclerotherapy and Rubber Band Ligation
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Quick outpatient procedures
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Minimal downtime
Which Piles Surgery Is Best?
Choosing the best surgery for piles depends on several factors, including the severity of hemorrhoids, patient health, and budget. Laser surgery for piles is ideal for those seeking a quick, less painful recovery. For large, persistent hemorrhoids, a hemorrhoidectomy may be the best treatment for piles.
Cost of Piles Surgery
The cost of the piles operation procedure varies based on the kind of the procedure, hospital location, and patient condition. But in common, it ranges from Rs 40,000 to Rs 60,000. Always consult a healthcare provider like Mykare Health for precise costs and suitable piles surgery options.

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Recovery After Piles Surgery
Recovery after piles surgery varies by the type of procedure. Here are general guidelines
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Laser Surgery: 1-2 weeks for complete recovery
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Hemorrhoidectomy: 3-4 weeks for full healing
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Stapled Hemorrhoidopexy: 2-3 weeks for recovery
Post-surgery care involves pain management, fiber-rich diets, and maintaining hygiene to prevent infections.
Risks of Piles Surgery
All piles surgery options carry potential risks
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Pain and discomfort
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Infection
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Recurrence of hemorrhoids
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Bleeding or anal leakage
Discuss these risks thoroughly with your healthcare provider to choose the best surgery for piles.
Non-Surgical Treatment for Piles
Non-surgical treatment for piles includes
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Dietary changes (high fiber intake)
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Topical ointments and suppositories
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Sitz baths for relief
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Prescription medications
While these methods can alleviate symptoms, they may not resolve severe cases requiring piles removal surgery.
Conclusion
Choosing the best surgery for piles depends on your specific condition, pain tolerance, and budget. Understanding piles surgery options, costs, and post-operative care is vital for a successful outcome. If you are considering piles removal surgery, consult with experienced medical professionals at Mykare Health. They provide advanced treatment options tailored to your needs, ensuring optimal outcomes and comprehensive care throughout your recovery journey.
Frequently Asked Questions
1. What are the different types of piles surgery?
The primary types of piles surgery include laser surgery for piles, hemorrhoidectomy, stapled hemorrhoidopexy, and non-invasive procedures like sclerotherapy and rubber band ligation.
2. Is piles surgery painful?
Pain levels depend on the surgery type. Laser surgery for piles is less painful, while hemorrhoidectomy involves more discomfort during recovery.
3. Can piles come back after surgery?
Yes, piles can recur if lifestyle habits are not adjusted. Laser surgery and hemorrhoidectomy offer the lowest recurrence rates.
4. Which piles surgery is best?
The best treatment for piles depends on severity and patient preference. Laser surgery is best for quick recovery, while hemorrhoidectomy is ideal for severe cases.
5. What is the cost of piles surgery?
The cost of piles surgery ranges from Rs 40,000 to Rs 60,000.
6. How long does recovery after piles surgery take?
Recovery time ranges from 1-4 weeks, depending on the surgery type. Laser surgery has the quickest recovery.
7. Are there any risks associated with piles surgery?
Yes, potential risks include pain, bleeding, infection, and recurrence. Consult with your healthcare provider to understand these in detail.
8. Is laser surgery for piles safe?
Yes, laser surgery is a safe and effective option with minimal risks when performed by experienced surgeons.
9. Are there non-surgical treatments for piles?
Yes, non-surgical treatments include lifestyle changes, medications, and outpatient procedures like sclerotherapy.
10. How do I choose the right piles surgery option?
Consider factors like severity, recovery time, cost, and expert medical advice to make a better choice.
Various piles surgery options are available, including laser surgery, hemorrhoidectomy, and stapled hemorrhoidopexy.
Laser surgery for piles offers a quicker, less painful recovery process.
The cost of piles surgery ranges from Rs 40,000 to Rs 60,000 depending on the procedure.
Non-surgical treatments are available for mild piles but may not be effective for severe cases.
Source Links
Hemorrhoid Surgery: Types, Aftercare, and More - Healthline
Types of Piles Surgery: Which One Is Best for You? - WebMD
Which type of surgery is best for piles - Felix Hospital in Noida