Piles surgery, also called hemorrhoidectomy, is a medical procedure performed to remove severe or persistently symptomatic hemorrhoids. It is usually considered when other conservative treatments, such as lifestyle changes, topical medications, and dietary adjustments, have failed to provide relief. There are different surgical techniques used to treat hemorrhoids, and the choice of procedure depends on the severity and location of the hemorrhoids. Some common types of piles surgery include: Conventional Hemorrhoidectomy: This is the traditional open surgery method where the surgeon makes incisions around the hemorrhoids and removes them. Stapled Hemorrhoidopexy (PPH): In this procedure, a circular stapler is used to remove a portion of the enlarged hemorrhoid tissue, which helps to reposition the remaining tissue back to its normal position. Doppler-Guided Hemorrhoidal Artery Ligation (DGHAL): This procedure involves using a special Doppler probe to locate the arteries supplying blood to the hemorrhoids. The surgeon then ties off these arteries, reducing the blood flow to the hemorrhoids, and causing them to shrink. Laser Hemorrhoidoplasty: This technique uses a laser to remove or shrink the hemorrhoidal tissue. Sclerotherapy: This is a less invasive procedure where a chemical solution is injected into the hemorrhoid, causing it to shrink and eventually disappear. It's important to note that piles surgery is usually considered a last resort when conservative measures have failed, and it is typically performed under anesthesia in a hospital setting. The recovery time can vary depending on the procedure used and the individual patient's condition, but patients are usually advised to take it easy and avoid strenuous activities during the healing process. If you are experiencing symptoms of hemorrhoids, it is essential to consult with a healthcare professional who can assess your condition and recommend the most appropriate treatment, which may or may not involve surgery.