Hemorrhoids are a common and prevalent disease, with close to 50% of the population suffering from them at one time or another. Internal hemorrhoids account for 60% of all hemorrhoids, external hemorrhoids account for 16%, and mixed hemorrhoids account for about 24%. Bright red bloody stools, prolapsed masses, and anal pain are common clinical manifestations of hemorrhoids. When these symptoms are so severe that the use of medication does not effectively relieve the symptoms, surgery should be considered. When it comes to hemorrhoid surgery, many people are very fearful, mainly because they are afraid of the pain and are worried that they will not be able to defecate normally after the surgery. Hemorrhoid surgery was indeed a very painful procedure in the past, as the anal area was rich in sensory nerves and very sensitive to pain, and the patient suffered a lot after the surgery. However, with the development of technology and the continuous improvement of surgical techniques, hemorrhoid surgery has been greatly improved and the vast majority of day surgery results can be achieved. This simply means that the surgery is done in the morning and you can go home in the afternoon. Daily life is not affected and everything is normal with diet and bowel movements. Why is there such a big change? First, hemorrhoid surgery methods are becoming more and more minimally invasive. Modern medicine believes that the essence of hemorrhoids is a vascular cushion that serves to keep the anus airtight. The goal of hemorrhoid treatment is to reduce and eliminate the main symptoms, not to cure them. That is why our surgery is also aimed at this, rather than removing all the asymptomatic hemorrhoidal tissue. At the same time, doctors have an increasing variety of treatment options. If the symptoms are predominantly bleeding, rubber band ligation can be used, even without anesthesia, on the fly. Doppler-guided hemorrhoid vascular ligation can also be used, and all of these methods can be largely or completely painless. If the hemorrhoids are more severe, with both prolapsed symptoms and bleeding, the surgeon can also use the minimally invasive PPH technique, which limits all operations to the part of the anus that is in the anus, above the dentate line. There are no painful nerves here, so post-operative pain is very minimal and day surgery is completely possible. However, there is a possibility of bleeding after the operation, so it requires a high level of skill and experience from the surgeon. In the most severe cases, such as stage IV internal or mixed hemorrhoids that prolapse outside the anus and cannot be returned, hemorrhoidectomy will be unavoidable. With the help of modern surgical tools, such as the use of electric and ultrasonic knives, it is possible to make the surgery bleed very little and also avoid the suture ligation of traditional surgery, which causes very little anal irritation and greatly reduces the patient’s pain. Therefore, day surgery is still possible for this group of surgical patients without affecting their daily life.