If only individual haemorrhoid nodes are present, especially if they cannot or not completely be pushed back into the anus, conventional excision is the most effective therapy. Usually this is done with an electric scalpel. We use a laser for this procedure in our proctological practice. This results in smoother cut edges, faster wound healing and less risk of postoperative pain and inflammation. Dr. Hofer and Mr. Bärtl prefer the method in which the wound is not closed with a suture. In this way, pain and inflammation caused by the suture material can be avoided. Large clinical studies have shown that neither the extent of postoperative pain nor the healing time are favourably influenced by suturing the wounds.