Surgery is not always the first line of treatment for piles. Depending on the severity of the condition, there may be non-surgical or minimally invasive treatment options available, which could be less expensive compared to surgery. These alternatives may include lifestyle modifications, dietary changes, over-the-counter medications, topical creams, rubber band ligation, sclerotherapy, or infrared coagulation. It is crucial to consult with a healthcare professional to determine the most suitable treatment option for your specific case, taking into account both effectiveness and cost.