THD is an effective method for problems associated with haemorrhoidal disease like bleeding, prolapse of the rectal mucosa and maybe pain following a surgery with conventional methods. With haemorrhoidal artery ligation, it reduces the arterial inflow to the piles and repairs the prolapse, if any, by performing haemorrhoidopexy, thus repositioning haemorrhoidal cushions. The THD method is minimally invasive and absolutely safe.