ABSTRACT
Hemorrhoidal disease is one of the most common diseases of mankind. It is estimated that 50% of population over 50 years of age at any one time in the Western world has symptomtic Hemorrhoidal Disease. The figures are probably somewhat lower for the developing countries especially the ones whose diet includes a high fiber content. In the United States one third of the overall population has symptomatic Hemorrhoidal Disease at any one time. Although 80% of persons during their lifetime experience symptomatic Hemorrhoids, they postpone treatment as long as they can. One reason being the nature of the disease, the social taboo associated with it, and because of the concern regarding the treatment procedures. Most of the treatment modalities in the past have been directed towards the symptoms. This was followed by surgery, however, lately newer non-surgical methods have made the treatment much easier and more acceptable. This is especially true for the Laser and/or thermal treatment