I had hemoroids and a Fissure around 30 years ago. I chose the most eminent rectal surgeon in the UK to do the job. A Fissure is caused by the anal sphincter muscle being to tight, and surgeon removes a few threads of muscle under a general anaesthetic, to get it back to normal. He did a very good job. Its just a one night stay in hospital. After the surgery the rectum is packed with bandages and everything heals fairly quickly..after surgery there were no more haemoroids. Its important to find a rectal surgeon that you got on with though. I saw 3 surgeons before I found one that was pleasant and polite. No severe pain after the surgery, they do have to remove the bandages from the Rectum a few days after Surgery. This is not painfull.

Okay I'll think about it then but I don't really want to do surgery

Have never came back

I here you, in ,early 20s I did so,much pain. I had it done out patient surgery and they have come back after a ,most 30 years. I sure it a whole lot better. The worse part was having ride the city bus right after the surgery. You need this done

It depends on where they are located. I work in Out Pt surgery, often they are done with local and just banded.