On the day of laser piles surgery, you arrive fasting, have pre-op checks, the procedure takes 20–45 minutes under anaesthesia, and you go home the same day. Here is the full timeline.
The Day of Laser Piles Surgery: Complete Timeline
Understanding exactly what will happen on the day of your laser piles procedure significantly reduces anxiety. Here is a step-by-step guide to the entire day.
Before You Arrive
**Fasting:** You will be instructed to fast for 4–6 hours before the procedure if spinal anaesthesia is planned. If local anaesthesia only, fasting may not be required — confirm with your surgical team.
**Medications:** Take your regular medications as directed by your surgeon. Blood-thinning medications may have been temporarily stopped in the days prior.
**What to wear:** Loose, comfortable clothing. Avoid tight jeans. Bring a trusted companion to drive you home.
On Arrival at the Clinic (30–60 minutes before procedure)
**Registration and paperwork:** Consent forms and pre-operative documentation are completed.
**Pre-operative assessment:**
- Blood pressure, pulse and oxygen saturation checked
- Blood sugar checked (especially if diabetic)
- Previous reports reviewed
- IV line placed if needed
**Pre-operative preparation:** The surgical area is prepared and the patient is positioned comfortably.
The Procedure (20–45 minutes)
**Anaesthesia:** Local anaesthesia (injection at the anal site) or spinal anaesthesia (injection in the lower spine) is administered. You feel pressure but not pain.
**Procedure:** 1. A proctoscope is gently inserted to visualise the internal haemorrhoids 2. A thin laser fibre is positioned inside the haemorrhoidal tissue 3. Laser energy is delivered to cauterise and shrink the haemorrhoidal vessels 4. This is repeated for each haemorrhoidal column (usually 3) 5. The instruments are removed and the procedure is complete
**What you experience:** Warmth, pressure and the sound of equipment. No sharp pain. You remain conscious if under local or spinal anaesthesia.
Immediately After (1–2 hours recovery)
- You rest in the recovery area
- Vital signs monitored
- Mild discomfort managed with oral painkillers
- You are allowed to drink water and have light food once fully awake
- A post-procedure instruction sheet is provided covering diet, activity and warning signs
Going Home (same day)
- Most patients are discharged 1–3 hours after the procedure
- You must have someone accompany you home — you cannot drive if you had spinal anaesthesia
- First 24 hours: rest, light diet, prescribed medicines
- First bowel movement: usually the next morning — take Isabgol and drink plenty of water the night of surgery
Frequently Asked Questions
**Q: Will I feel pain during the procedure?** A: No. Anaesthesia prevents pain during the procedure. After anaesthesia wears off (2–4 hours post-procedure), mild discomfort is managed with prescribed oral medicines.
**Q: Do I need to stay overnight?** A: Most laser piles procedures are day-care — you go home the same day. Hospital admission is rarely needed unless additional procedures are performed simultaneously.
Book Your Procedure at RectoRelief Hospital
For a smooth, same-day laser piles procedure, book a pre-operative consultation at RectoRelief Hospital, Noida.