When you have hemorrhoids, you should consider surgery if conservative treatment does not work and your symptoms seriously affect your quality of life. Hemorrhoid surgery is divided into outpatient surgery and inpatient surgery, and into traditional and minimally invasive surgery. However, regardless of the type of surgery, hemorrhoid surgery generally does not require stitches. The traditional surgery is an external peel and tie procedure, where the nucleus of the internal hemorrhoid is ligated, but no stitches are required. External hemorrhoids are removed directly, again without stitches. Minimally invasive surgery is an anastomotic hemorrhoidectomy, in which the anastomotic staple of the anastomosis closes the removed mucosa, again without stitches. In short, hemorrhoids should all be open wounds after surgery and do not require stitches, so don’t worry too much.