Hemorrhoids (Piles) are arteriovenous vascular plexuses that surround the distal rectum and anal canal. Hemorrhoids are present in all individuals from birth and become symptomatic when enlarged, inflamed, thrombosed, or prolapsed. The development of symptomatic hemorrhoids is related to a combination of factors including venous engorgement and weakening of the supportive scaffold of connective tissue that supports this vascular bundle and the overlying mucosa. In the present prospective comparative study, 50 cases of 2nd and 3rd degree haemorrhoids were chosen with complaints of bleeding per rectum, mass per rectum, and pain during defecation. Patients were divided into 2 groups of 25 each. One group underwent open haemorrhoidectomy and other underwent closed haemorrhoidectomy. The most common presentation in haemorrhoids is bleeding per rectum in 86% of cases, while mass PR and pain in 70% and 20% of the cases respectively. In the present study 30% of the patients suffered from second degree haemorrhoids while 70% had third degree haemorrhoids.