Surgery is typically the last type of treatment used to control the symptoms and complications that may be present with hemorrhoids. For most patients, the pain and irritation of a hemorrhoid passes in 1-2 weeks. If your hemorrhoid symptoms persist beyond the two week mark, seek the attention of a physician.
Surgery is considered if medications and less invasive hemorrhoid treatments are ineffective at improving the condition. These treatments range from home remedies, such as applying ice and witch hazel; prescription-numbing medications; and minimally invasive procedures, such as rubber band ligation or the injection of a solution into the blood vessel.
Most patients who qualify for surgery have very large internal hemorrhoids, a combination of internal and external hemorrhoids, very large external hemorrhoids, or hemorrhoids that have not responded favorably to other types of treatment.