Hemorrhoidectomy or surgery for piles may be recommended for severe hemorrhoids when non-surgical treatment has not provided adequate relief from persistent itching, anal bleeding, pain, blood clots or large external hemorrhoids that cause significant discomfort or infection. To prevent a recurrence of hemorrhoids, some preventive measures should be taken. A high fiber diet to avoid constipation may help. There will be considerable pain after surgery as the anus tightens and relaxes. Medications to relieve pain may be used. To avoid straining, stool softeners will be used. Avoid any straining during bowel movement or urination. Ice packs applied to the anal area may reduce swelling and pain. Frequent soaks in warm water (sitz baths) help relieve pain and muscle spasms. Avoid heavy lifting for two to three weeks. Expect complete recovery in about two weeks. Cost of surgery various according to the facilities at the hospital and the technology used. In general ward in the Hospital would be Rs.6, 000, in Private hospital for General Ward it is Rs 20,000 and in Deluxe Ward Rs 35,000 (approx)