Before hemorrhoid surgery, the physician will explain the procedure and answer any questions the patient may have. The patient will then be instructed to sign an informed consent form.

The patient will typically be placed on a special, low-residue diet for several days prior to the surgery. A low-residue diet contains very few foods that can become caught in the colon. This helps keep the colon clean for the surgery. The patient’s hemorrhoids will be evaluated. External hemorrhoids will be examined, with particular attention to size, evidence of bleeding and the presence of drainage.

Stool softeners and an enema may be used just before the surgery to prepare the bowels. The rectal area will then be cleansed. This may involve a sitz bath, in which the patient sits in a small amount of warm water. After it has been cleansed, the rectal area may be shaved.