Many piles medicines are available in the market but it gives you temporary relief only or you will feel that you are absolutely fine so first of all never decide to anal surgery, your anus grip can be loose after surgery & it takes too much time to heal the anus wound, by that time you will also suffer pain and trouble, the muscles of the anus become loose, which makes it impossible to control toilet motion and piles may occur again after surgery, before treatment anal endoscopy (examination) is must, only ayurvedic kshara sutra therapy or kshar karma is a unique ancient technique, which is proved to be an effective treatment of anorectal disorders. It is commonly recommended in patients suffering from piles. According to world health organisation (who), kshar sutra therapy is better than any modern surgery for piles & fistula. This is nonsurgical procedure so no need of hospitalization or bed rest, piles disease will never be again in life, we will provide you demo video for the treatment procedure.