Hemorrhoids can be painful and embarrassing.  Depending on the severity of your hemorrhoids, there's different surgeries available to help control them.  The most important thing about hemorrhoid surgery is diet modification -- you have to be taking in the right amount of fiber and water to avoid constipation.  To do surgery without this issue being addressed will likely result in a recurrence of the hemorrhoids.

Sometimes there's just one spot where the hemorrhoid is enlarged, this can occasionally be controlled with a rubber band applied to part of the hemorrhoid in the office, or under sedated.

If your disease is more severe, or there's tissue falling (prolapse) when you have bowel movements, you may be a candidate for a PPH (Procedure for Prolapse and Hemorrhoids).  This procedure removes extra tissue from inside the rectum to get rid of the hemorrhoids and redundant tissue.  The surgery is performed in an area where we don't have the ability to feel sharp pain.  Generally one feels pressure or an ache, but is much less severe than routine hemorrhoid surgery.  Most people take a couple of days off from their routine and get back to normal functions weeks earlier than after routine hemorrhoid surgery.

Bleeding is the most common issue associated with hemorrhoid surgery.  This is because hemorrhoids are tufts of enlarged vessels, naturally one would expect bleeding to the be the most common complication.  Most times the bleeding is minimal and goes away without intervention.  On rare occasions, surgery may be required to help control bleeding after a hemorrhoid surgery, but again, this is very unlikely.  The most important thing after surgery is being sure to avoid constipation by taking in enough fiber and water, and possibly using stool softeners.