ILES ( Mulvyadh/Bavasir ) ( clinically known as hemorrhoids ) basically, is the swelling of blood vessels near the anal opening and a sliding down of the lining of the anal canal. The lumps are formed by increased pressure on blood vessels in the area, causing them to enlarge and swell. Conventional piles surgery includes cutting the piles from its root and stitching the wound. Stapler surgery is an advanced technique using the Ethicon stapler equipment. The equipment appears to look like a gun that takes in the loose anal mucosa (inner lining) and cuts a piece in the shape of a doughnut around its periphery. It simultaneously stitches the raw cut edges of the anal mucosa and fixes the pile in its normal position. This action is similar to a stapler; hence it is commonly called stapler surgery. In medical terms it is called MIPH (Minimally Invasive Procedure for Haemorrhoids). Best Piles surgeon in pune