(Hemorrhoid Ligation; Rubber Band Ligation for Hemorrhoids)
by Editorial Staff and Contributors
Hemorrhoids are enlarged, bulging blood vessels in the anus and lower rectum. Hemorrhoid banding is a procedure to remove them.
Reasons for Procedure TOP
Banding is used to treat painful, swollen hemorrhoids. The procedure is most often done for the following reasons:
Possible Complications TOP
Complications are rare, but no procedure is completely free of risk. If you are planning to have hemorrhoid banding, your doctor will review a list of possible complications, which may include:
What to Expect TOP
Prior to Procedure
Your doctor may do the following:
Anesthesia is not usually needed. A local anesthesia may be used in some cases to numb the area.
Description of the Procedure TOP
An anoscope will be inserted through the anus. The doctor will look through the tube to see inside the rectum and locate the hemorrhoid. A special banding tool will be used. The tool will place a small rubber band around the hemorrhoid. The band cuts off the blood supply. This will make the hemorrhoid fall off. More than one hemorrhoid may be banded. The band and the hemorrhoid will fall off in about 1-2 weeks.
How Long Will It Take? TOP
This is a short procedure. The length of time depends on how many hemorrhoids need treatment.
Will It Hurt? TOP
Patients often report some discomfort during and after this procedure. If you feel sharp or severe pain, tell the doctor right away. Mild pain medication will help you manage discomfort during recovery.
Post-procedure Care TOP
For a few days, you may have difficulty controlling the passage of gas and bowel movements. When you return home after the procedure, do the following to help ensure a smooth recovery:
Call Your Doctor TOP
After arriving home, contact your doctor if any of the following occurs:
If you think you have an emergency, call for emergency medical services right away.
American Society of Colon and Rectal Surgeons
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Digestive Health Foundation
Hemorrhoids. American Society of Colon and Rectal Surgeons website. Available at: https://www.fascrs.org/patients/disease-condition/hemorrhoids. Accessed September 30, 2014.
Hemorrhoids. EBSCO DynaMed website. Available at:
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Updated September 8, 2014. Accessed September 30, 2014.
Last reviewed August 2015 by Daus Mahnke, MD
Last Updated: 9/30/2014
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