Summary A method for the surgical management of hemorrhoidal disease is presented which emphasizes the importance of preoperative selection and preparation. A form of anesthesia and surgical technic is described which differs somewhat from that generally employed and a plan of postoperative care is advocated which is simple and effective. The surgical technic assures complete removal of hemorrhoids and provides a skin-lined anal canal which is in keeping with the best principles of plastic surgery and is productive of excellent results.