The article provides an overview of hemorrhoids, a common health issue that can cause significant discomfort and embarrassment for sufferers, particularly when symptoms worsen. It highlights that the decision to pursue surgical treatment largely depends on the size of the hemorrhoids and the severity of accompanying symptoms. According to the German Society for Colorectal Surgery, surgery is often necessary in the more advanced stages of the condition, specifically grades 3 and 4, where hemorrhoids protrude outside the anus during defecation or physical exertion and do not retract automatically.

Doctors classify hemorrhoids into four grades, with surgical intervention typically required for grades 3 and 4, where patients experience frequent and severe symptoms leading to considerable suffering. The heightened severity at these stages usually eliminates the possibility of trying other treatment methods, making surgery the immediate therapeutic option. Furthermore, the article emphasizes that surgical decisions should be made considering the patient's overall health, as certain risk factors could complicate the procedure and necessitate postponement or avoidance of surgery altogether.

Lastly, the article touches on potential contraindications for surgical intervention, indicating that the health status of the patient must be evaluated before initiating any surgical options. These considerations are crucial to ensure patient safety and an informed approach to treatment, underlining the importance of consulting with healthcare professionals to determine the best course of action for treating hemorrhoids.