Hemorrhoid banding, also known as rubber band ligation, is a minimally invasive technique for removing hemorrhoids. This approach is used for internal hemorrhoids.   During the procedure, the doctor uses a specialized scope and tool to place a rubber band around the hemorrhoid. This cuts off the circulation to the hemorrhoid and causes it to shrink and die in the next few days.   The entire process usually takes about 30 minutes to complete. Many people return to regular activities right after the procedure, while others choose to take it easy for a few days. It’s up to you, but it’s very important to avoid heavy lifting completely until the hemorrhoid is fully healed.