“Can external hemorrhoids be removed without surgery?”

Hemorrhoids are very often not required to be treated surgically – surgical treatment is reserved for management after medical treatment fails. You should see a local colorectal surgeon for management advice and discussion of treatment.

They can heal, yes. But they can't remove themselves.

No, the only way to remove them is with surgery.

Hello and yes if they are external hemorrhoids they could be banded which does not involve cutting.  A colorectal surgeon, a general surgeon, or a gastroenterologist can help you with this.

Once you have hemorrhoids, they can symptomatically be decreased by avoiding constipation, prolonged sitting. Take stool softeners as needed. Warm sitz baths at least twice a day.

Depends on how you think of surgery. It is minimal enough some would call it a procedure. However, the post-procedure symptoms can be enough you would consider it a surgery.

The short answer is yes. If by “removal” you mean non-surgical “treatment” options. To physically remove them that would require surgery. However, the type of treatment and timing depends first on whether or not you have symptoms. There is first-line conservative management that everyone should do once they have hemorrhoids. Following that there are office-based procedure options that would not require full-blown surgery. To my knowledge, many of these have a relatively significant risk of recurrent disease. The definitive treatment is surgical however I would not jump to surgery myself without first doing lifestyle modification to avoid another flareup or progression, followed by medical treatment options and if all of that is failing would try some of these non-surgical, office-based procedures. Each treatment option, timing, expectation requires a lot of detailed explanation. The bottom line is if it is bothering you significantly at this time go ahead and seek a referral from your primary care doctor. The primary care doc can institute some basic recommendations and common medications for symptom control. If it were me I would then go straight to a colorectal surgeon as they are more likely to have the latest treatment techniques as well as all of the instruments and office-based treatment modalities at their disposal. Good luck!

No, these are the ones that hurt, they cannot be banded.

No, you need Surgery. It can be stapled.