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What is Laser Piles Surgery? The methodology is classified as a surgical method that uses a laser beam to cure haemorrhoids. A specialised device emits intense light energy to shrink or eliminate the affected tissue. This high-intensity light causes the tissue to vaporise or coagulate, reducing size. Piles laser treatment is usually outpatient (patients are generally discharged within 24 hours or the same day), with local or general anaesthesia. The device's precision targets only the affected tissue, minimising harm to healthy tissue.