PPH is a more minimally invasive surgical approach; it involves resuspending hemorrhoidal tissue to its original anatomic position, using a circular stapling instrument. This procedure also reduces the blood flow to the internal and external hemorrhoids; this eventually causes the hemorrhoids to shrink in size, relieving preoperative symptoms. The PPH results in less pain and a quicker recovery than traditional hemorrhoid surgery, because it is performed above the level where nerves end inside the anal canal. This procedure allows patients to be more active after their surgery, and also allows the patient to return to work in only a few days. All of the physicians here at Colon Rectal Surgical Associates are experienced in PPH surgery, and offer it as an alternative for those requiring hemorrhoidectomy. This procedure is especially effective for those patients on blood thinning medications such as Coumadin.