Hello dear Warm welcome to Healthcaremagic.com I have evaluated your query in details . * As this is the diagnosed case of internal hemorrhoid , not satisfactorily controlled with medications , surgery in form of laser or stappler procedure is strongly recommended . * That procedure is safe , painless and curable . * For the surgeon in Noida , kindly consult our customer care executives at website who will guide you in best manner . Hope this will help to clear your doubt . Wishing you fine recovery . Always welcome for any further assistance anytime . Regards .