We use rubber band ligation (RBL) as our standard for hemorrhoid surgery. The doctor places a small rubber band at the base of the hemorrhoid, which in result stops the blood supply and causes the hemorrhoid to shrink and fall off.  A hemorrhoidectomy is another choice for hemorrhoid surgery. The procedure removes the hemorrhoid, blood clot and blood vessels. You may get partial anesthesia during this procedure and a hemorrhoidectomy is only performed for the most severe hemorrhoid cases.