If localized hemorrhoids are present in the form of meatballs, surgery may be an option for direct excision. The main types of surgery include external stripping and internal ligation of mixed hemorrhoids, simple excision of external hemorrhoids, and circumferential stapling of the mucous membrane over the hemorrhoids. Different surgical procedures have different surgical prices. In case of simple external stripping and internal ligation of mixed hemorrhoids, the cost of surgery is around$5,000. If external stripping and excision of hemorrhoids is performed, the cost of the procedure is around$3,000 because it does not involve ligation of the arteries and veins of the localized internal hemorrhoids in the anal canal. If an anastomosis is used to perform circumferential stapling of the suprahemorrhoidal mucosa, which involves removing the localized hemorrhoidal nucleus along with the flaccid mucosa, the surgery may cost around$8,000. Whichever procedure is performed, the local wound needs to be sterilized and changed after surgery to avoid infection and pseudo-healing.