Five things to know before you walk in — because we hear them every week.
You are awake and in conversation throughout. No anesthesia required.
No drinking anything the night before. No diet changes. Just show up.
No sedation means you drive yourself home — and most patients drive back to work.
The in-office treatment we use is not the surgery you may be picturing. It is brief, gentle, and well-tolerated.
This is roughly half of what Dr. Johnson sees every week. There is nothing you can say that we have not heard.
Most hemorrhoid clinics are exactly that: hemorrhoid clinics. They do one procedure, on one condition, often performed by a rotating panel of providers. They are efficient — and they are limited.
PHII is different in two important ways. First, you see Dr. Johnson — a fellowship-trained pelvic surgeon — at every visit. Second, hemorrhoids almost never travel alone. They coexist with constipation patterns, pelvic floor dysfunction, fissures, skin tags, and sometimes bowel control issues. A single-service clinic cannot evaluate or treat those. We can. And when those are present, treating the hemorrhoid in isolation is not what solves the problem.
Conditions Treated
Internal, external, mixed, and thrombosed.
Learn moreAcute and chronic. Non-surgical first.
Learn moreTargeted evaluation — and the screening conversation that should follow.
Learn moreConservative during pregnancy, banding postpartum when needed.
Learn morePruritus ani — common, treatable, and rarely discussed.
Learn moreFrequently mistaken for active hemorrhoids.
Learn moreThe Primary Procedure
The primary in-office treatment for internal hemorrhoids at PHII. Brief — most visits take less than fifteen minutes. Effective — most patients are fully treated in two to four visits. And done entirely without sedation, prep, or a driver.
How banding worksMost of our anorectal patients tell us they waited far longer than they should have. The visit is shorter than the wait. There is nothing to be embarrassed about. We see this every day. Have a question first? Read the anorectal FAQ →
