What is Rubber Band Ligation?

Ligation is defined as “a surgical procedure of closing off a blood vessel or other duct or tube in the body”. In this case, a tightly wound rubber band is put at the base of the hemorrhoid.” This is also known as a THD (Transanal Hemorrhoidal Dearterialisation).

What to Expect?

Following the procedure it is common to experience some bleeding, especially after the first several bowel movements, in addition to experiencing mild pain or discomfort, and the sensation of pressure. Heavy post-operative bleeding is highly rare and requires hospitalization. Severe pain is usually the result of misapplication of the rubber band, and requires removal and reapplication of the band. Several other post-operative complications that require hospitalization are

  1. Blood Clotting,
  2. Development of an Anal Fissure

Advantages of Rubber Band Ligation

Usually a hospital stay is not required and the patient is released in few hours.  The procedure has a 60% to 80% success rate.

Cost of Rubber Band Ligation

Rubber band ligation is typically covered by most insurance providers. But if you have a deductible, or no insurance, the cost for rubber band ligation can range from around $1,000 to $1,500 per application with 2-8 applications needed.

Disadvantages of Rubber Band Ligation

Can be extremely painful. Has mild to severe bleeding. Rubber band slippage or breakage can occur and cause complications. Infection and anal fissure (tear in the anus) has been known to occur with this process and this process can only treat the medium sized (grade 2 to grade 3) hemorrhoids. It cannot be used on stage 1 but also does not work very well for stage 4 hemorrhoids. This process takes 2-8 procedure with 6-8 weeks of wait time between each application. Often people use pain killers for pain.

According to the American Gastroenterological Associations Gastroenterology, “The recurrence rate may be as high as 68% at 4 or 5 years…”

Rubber Band Ligation Statistics

Avg. Success Rate
Recurrence Rate