Hemorrhoidectomy is surgery to remove hemorrhoids. Most of our patients will be given local sedation rather than general anesthesia or spinal anesthesia to eliminate the unpleasant side effects of anesthesia. Using traditional surgery, incisions are made in the tissue, the swollen vein inside the hemorrhoid is sutured off to prevent bleeding, and the hemorrhoid is removed. This often causes great discomfort to the patient post-operatively. Surgeons of Advanced Surgical Associates are also trained to use more advanced procedures whenever possible, including the use of a stapling device to remove hemorrhoidal tissue or the use of a tool that uses electrical current to seal the vessels of the hemorrhoid and then remove it. (Sealing the blood vessels this way is described as using ligatures.) These more up-to-date procedures cause the least amount of discomfort to the patient post-operatively.