Introduction Hemorrhoids—swollen and inflamed veins in the rectal and anal area—are a common health issue, affecting millions globally. While many mild to moderate cases respond well to lifestyle changes and minimally invasive treatments, severe hemorrhoids often require surgical intervention for lasting relief. Hemorrhoidectomy, the surgical removal of hemorrhoids, remains the gold standard treatment for large, prolapsed, or thrombosed hemorrhoids that don’t improve with conservative care. This article explores what hemorrhoidectomy involves, who needs it, the types of surgery available, risks, recovery, and alternatives. When Is Surgery Needed? Surgery is generally considered when: Understanding Hemorrhoidectomy Hemorrhoidectomy is the surgical excision (removal)…