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Introduction: Hemorrhoidal disease is a pathology with a prevalence of 2 to 5%. Although surgical treatment is a solution to most cases, it is rarely used due to the existence of many myths regarding post-surgical complications. In the Teodoro Maldonado Hospital techniques such as Milligan and Morgan, Fergunson and Parks are used in this institution, and although they have been performed for many years. This book deals with background, anatomy, epidemiology, etiology, differential diagnosis, classification, complications and surgical treatment with its different surgical techniques. It is a pathology treated in the protology service in the different hospitals of our country, and it is necessary to know the doctors in general who is the gateway to our health system.