Hemorrhoids are engorged anal canal vessels, often linked to constipation and pregnancy. They may be internal or interno-external, causing bleeding, prolapse, discomfort, and pruritus. While often asymptomatic, about 5–13% of adults experience symptoms. Diagnosis is clinical, confirmed via proctoscopy, and requires exclusion of serious conditions like cancer. Management begins with stool softeners, dietary fiber, and phlebotonics. Office procedures like rubber band ligation or sclerotherapy are effective for mild cases. Surgery is reserved for persistent, prolapsing, or strangulated hemorrhoids. Postoperative monitoring includes pain, bleeding, and stool consistency. Referral is needed for severe complications, prolonged symptoms, or suspected malignancy.