Piles (haemorrhoids) are swellings that develop inside and around the back passage (anus). Symptoms range from temporary and mild, to persistent and painful. In many cases, piles are small and symptoms settle down without treatment. If required, treatment is usually effective. The most common symptom experienced is bleeding after going to the toilet to pass stools (faeces). The blood is usually bright red and may be noticed on the toilet tissue, in the toilet pan or coating the stools. Banding procedure is usually done by a surgeon in an outpatient clinic. A bleeding haemorrhoid is grasped by the proctologist with forceps or a suction device. A rubber band is then placed at the base of haemorrhoid. This cuts off the blood supply to haemorrhoid which then dies and drops off after a few days. The tissue at the base of haemorrhoid heals with some scar tissue. Stapled haemorrhoidopexy is a circular stapling gun is used to cut out a circular section of the lining of the anal canal above the piles for bleeding haemorrhoids treatment. This has the effect of pulling the piles back up the anal canal. It also has the effect of reducing the blood supply to the piles and so they shrink as a consequence. Because the cutting is actually above the piles, it is usually a less painful procedure than the traditional operation to remove the piles.