The decision to perform surgery for hemorrhoids depends on various factors, including the size, location, and severity of the hemorrhoids, as well as the patient’s symptoms and overall health.
In general, surgery for hemorrhoids is usually reserved for more severe cases that have not responded to other treatments, such as dietary changes, medication, or minimally invasive procedures.
Large external hemorrhoids that cause significant pain, bleeding, or prolapse (where the hemorrhoid protrudes from the anus) may require surgery. Internal hemorrhoids that are large, bleed heavily, or cause significant discomfort may also require surgery.
However, the size of the hemorrhoids alone is not the only determining factor for surgery. It’s important to consult with a doctor to discuss your specific case and the best treatment options.