Majority of the hemorrhoids are not requiring surgical intervention, which is meant in severe forms of hemorrhoids. The surgery for hämoriden heilung may be considered in case the other hemorrhoids treatment options are ineffective. In another condition the surgery is a choice when the symptoms present are causing too much botheration affecting the lifestyle of the person or an emergency situation arises due to presence of no control in the bleeding as well as severe rectal pain.
In case there are external hemorrhoids these are not right for surgical removal. Surgical removal becomes the only option in case these are of very big size and cause uncomfortable feeling. These are removed in case the surgery is planned involving the anal region for some other reason, like presence of internal hemorrhoid also or the presence of anal fissure.
The hemorrhoids removal surgically seems to be last option for treating large numbers of small internal hemorrhoids. Moreover hemorrhoidectomy is the treatment of choice for large hemorrhoids located internally more so if after other treatments the problem is not resolved by other methods.