As the most common anal disease, hemorrhoids can be considered for surgery if conservative treatment is ineffective and the symptoms seriously affect the quality of life. Many patients have one or more questions and concerns about hemorrhoid surgery, so this article combines the author’s years of clinical experience in treating hemorrhoids to answer several of your most important concerns in as much depth as possible. First, does hemorrhoid surgery hurt afterwards? For any surgery, post-operative pain is one of the more important concerns for patients, and this is especially important in the case of hemorrhoid surgery. The hemorrhoids are located near the dentate line of the anal canal, where the nerves are abundant and sensitive, so there is a saying that the hemorrhoids are the first pain in the world after surgery. This is not a good reputation, but it is a good indication that hemorrhoids can be very painful after surgery. However, with the development of time and technology, the “balanced bout of pain technique” has been widely used after hemorrhoid surgery, where several common pain medications and anti-inflammatory drugs are combined and injected on top of the wound before the end of the surgery to ensure that the patient does not feel significant pain for a week after the surgery. It is worth noting that the formulation of the balanced bout of pain technique may vary from hospital to hospital in the anorectal department, but there is no significant difference in the analgesic effect. Therefore, the saying “the first pain in the world” after hemorrhoid surgery is a thing of the past, and patients who need surgery do not have to choose to avoid it for fear of post-operative pain. Second, choose minimally invasive surgery or traditional surgery? The choice of hemorrhoid surgery method is also one of the bigger concerns of patients. In fact, any kind of surgical method has its indications and should be chosen according to the specific condition of the patient and some other factors. For patients with only internal hemorrhoids or mainly internal hemorrhoids symptoms, it is recommended to choose minimally invasive surgery because the results of minimally invasive surgery are very good. For patients who have only external hemorrhoids or mainly external hemorrhoids symptoms, it is recommended that you can choose traditional surgery. It is worth noting that minimally invasive surgery requires the use of a single-use anal anastomosis clutch, which is still relatively expensive and has a relatively small reimbursement rate by medical insurance, so it is important to choose one that takes into account the patient’s financial situation and his or her own wishes. The actual fact is that the actual hemorrhoids are not only a lot more expensive, but they are also a lot more affordable.