General and Laparoscopic Surgery

Haemorrhoid Surgery in Nigeria

Piles that bleed, prolapse or hurt, and that have not settled with diet, creams or banding. The operation is short. The honest part is that the first ten days afterwards are uncomfortable.

Also called: Haemorrhoidectomy, Piles surgery

Medically reviewed by Dr Debo Odulana, Founder and Chief Executive, Mezo. Last reviewed 3 October 2026. This page is general information, not a diagnosis. Care is decided with you after an examination.

Published price

₦225,000

Fixed all-in case rate, haemorrhoidectomy

Day case. Home the same day.

What the price covers

  • Surgeon and assistant fees
  • Anaesthetist and theatre time
  • Standard consumables for the operation
  • Your bed for the expected stay
  • Routine medication while you are admitted
  • The post-operative review at six weeks

What it does not cover

  • The first consultation and the tests that confirm you need the operation
  • Treating conditions found during work-up, such as uncontrolled diabetes or an untreated infection
  • Take-home medication after discharge
  • Care for complications needing intensive care or a return to theatre

Related prices

Rubber band ligation, outpatient

For earlier grade piles. No anaesthetic, and you walk out.

₦75,000

What would change this price

  • A fissure or fistula treated at the same time
  • Circumferential piles needing a more extensive operation
  • An overnight stay, occasionally needed for pain control

If an HMO is paying, the case needs prior authorisation before admission. Bring your HMO number to the first consultation and the desk will start it. If the plan declines, you are told the cash price before anything is booked.

Get a written quoteSee the surgeons

Who this is for

  • Piles that prolapse and will not push back
  • Repeated bleeding that has not settled with diet and topical treatment
  • Piles that have already been banded without lasting benefit
  • Pain and swelling from a thrombosed pile

When it is not the right answer

  • Early piles that have not yet had a proper trial of fibre, fluid and topical treatment
  • Bleeding that has not been investigated, because not all rectal bleeding is piles and that matters

The pathway, step by step

  1. 1

    Consultation and examination₦35,000

    Examination and proctoscopy. Anyone over forty, or with a change in bowel habit, is assessed for other causes of bleeding first.

  2. 2

    Try the simple things, if they have not been tried

    Fibre, fluid and banding resolve a large share of cases without an operation.

  3. 3

    The operation

    About thirty minutes, under spinal or general anaesthetic.

  4. 4

    Home the same day

    You leave with painkillers, a stool softener, and clear instructions about the first bowel motion.

  5. 5

    Review at six weeks₦25,000

    Healing checked.

Recovery, realistically

Days 1 to 3

Painful, particularly on opening the bowels. Take the painkillers and the stool softener as prescribed rather than waiting for pain.

Week 1 to 2

Still sore. Most people need one to two weeks off work. Warm baths help more than anything else.

Week 2 to 6

Steady improvement. Some bleeding and discharge as the wounds heal is normal.

After six weeks

Healed. Keeping stools soft long term is how you stop them coming back.

Risks you should be told about

  • Pain, which is expected rather than a complication, and is the main reason people delay this operation
  • Bleeding in the first two weeks
  • Difficulty passing urine immediately afterwards
  • Narrowing of the anal canal, uncommon
  • Recurrence, particularly if constipation is not addressed

Every operation carries risk. A surgeon who lists none is not being straight with you. Yours will go through these with you before you consent.

Questions people ask

Is it as painful as people say?

The first week is genuinely uncomfortable and anyone who tells you otherwise is selling something. It is manageable with the painkillers and stool softeners you are sent home with, and it is over in about two weeks.

Can banding fix it instead?

For earlier grades, often yes, and it is far cheaper and needs no anaesthetic. Surgery is for piles that band ligation will not hold.

Will they come back?

Not usually after a full haemorrhoidectomy, provided constipation is dealt with. Piles come back in people who go back to straining.

Do I need a colonoscopy first?

If you are over forty, or your bowel habit has changed, or there is a family history of bowel cancer, yes. Rectal bleeding should never simply be assumed to be piles.

Prices shown are Mezo cash prices in naira and were last checked on 3 October 2026. They are what you would be quoted for the standard case described here. Your final quote follows an examination, because the right operation for you may not be this one.