Private Hemorrhoidectomy Surgery

Life is better without the discomfort — whether you’re exploring your options or ready to move forward, we’re here to help.

From Questions to Recovery, We’ve Got You.

Hemorrhoids are swollen, inflamed veins in the lowest part of the rectum and anus. They are common and often manageable with conservative care, but when they become persistent, painful, prolapsed, or unresponsive to non-surgical treatment, surgery may be an effective option. Early evaluation helps determine the right treatment path and can prevent complications such as thrombosis, chronic bleeding, or recurrence.


Gateway Surgery offers private surgical consultations and procedures. Our team will walk you through your options — from banding and sclerotherapy to excisional and stapled procedures — and help you make a confident, informed decision about your care.

Care for Every
Kind of Hip Pain

Care for Hemorrhoidal Disease

Hemorrhoidectomy

For internal, external, and mixed hemorrhoids that haven’t responded to conservative treatment

Conditions
  • Internal Hemorrhoids
  • External Hemorrhoids
  • Thrombosed Hemorrhoids
  • Mixed/Combined Hemorrhoids
Surgeries
  • Excisional Hemorrhoidectomy (open or closed technique)
  • Stapled Hemorrhoidopexy
  • Doppler-Guided Transanal Hemorrhoidal Dearterialization (THD)

Your Journey with Gateway Surgery

Navigating private surgery can feel unfamiliar. Here’s what to expect.

1

Connect With Our Team

Your journey starts when you contact us directly or when we receive a referral from your physician. Our team reaches out to gather your records, confirm your information, and explain the next steps so you feel prepared before your consultation.

2

Meet With Your Surgeon

You meet one-on-one with your surgeon, either virtually or in person, to review your history, symptoms, and prior treatments. You will leave with a clear diagnosis, your treatment options, and the time to ask every question you have.

3

Preparing for Surgery

If you decide to move forward, we handle the logistics — scheduling your procedure, arranging any required pre-operative assessment, and giving you clear, personalized bowel prep and pre-op instructions so there are no surprises.

4

Surgery Day

On the day of your procedure, your surgical team guides you through each step. Most hemorrhoidectomy procedures are performed as day surgery. You will understand exactly what to expect before discharge, including your pain management plan and what early recovery involves.

5

Recovery and Follow-Up

Your care continues after your procedure. We provide detailed recovery guidance — including wound care, diet, and bowel management to support the first 1–2 weeks — coordinate follow-up appointments, and give you access to our on-call nursing team for up to 8 weeks post-surgery.

Meet Our Surgeons

Our surgeons are colorectal and general surgery specialists with a focused practice in anorectal procedures. Each brings dedicated experience in hemorrhoidal disease and a commitment to patient-centred care.

Hemorrhoidectomy Frequently Asked Questions

Do I need a referral to access Gateway Surgery?

No referral is required. You are welcome to contact our team directly. We will gather the information needed to get your journey started and connect you with the right surgeon for your condition.

Yes. Gateway Surgery offers private pay surgical services. These procedures are performed outside the public system and are not billed through provincial health insurance. Patients pay directly for surgical, anaesthesia, and facility fees. Our administrative team can provide a detailed fee breakdown and documentation to assist with any extended health benefit claims.

Most hemorrhoids respond to conservative measures — diet and fiber, topical treatments, or in-office procedures like rubber band ligation, sclerotherapy, or infrared coagulation. Surgery is generally considered when:
  • Hemorrhoids are large, prolapsing, or grade III–IV
  • Symptoms persist or recur after non-surgical treatment
  • There is significant external component or thrombosis
  • Bleeding is recurrent or unresponsive to other measures
Your surgeon will review which approach is appropriate for your specific presentation during consultation.
Hemorrhoidectomy is a well-established procedure, but as with any surgery, there are potential risks. These include:
  • Significant post-operative pain (more pronounced than most anorectal procedures)
  • Urinary retention
  • Bleeding
  • Infection
  • Anal stenosis (narrowing)
  • Recurrence
  • Rarely, impact on continence
Your surgeon will review risks specific to your anatomy and planned procedure during your consultation, and will discuss how each is managed.

Many patients are able to access surgery within a few weeks of consultation, depending on medical readiness and surgeon availability. Our team will provide a realistic timeline following your consultation.

Post-operative care includes:
  • Detailed pre-operative education and bowel preparation guidance
  • Clear pain management and wound care protocols
  • Follow-up appointments to monitor healing
  • Dietary and activity guidance to support recovery
  • On-call nursing support for up to 8 weeks after surgery

Extended health benefit coverage varies by insurer and plan. Some plans reimburse portions of private surgical, anaesthesia, or facility fees. We recommend confirming your eligibility and reimbursement limits directly with your insurer before your procedure. Gateway’s administrative team can provide itemized invoices and documentation to support your claim.

Ready to Take the Next Step?

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Dr. Daniel Pincus

MD, PhD, FRCSC

Dr. Daniel Pincus is an orthopaedic surgeon specializing in hip and knee replacement surgery, including complex primary procedures and revision joint reconstruction.

He is known for particular expertise in minimally-invasive hip and knee replacement techniques, including hip resurfacing, DAA hip arthroplasty, and partial and total knee replacement, and has performed more than 3,000 of these procedures. Dr. Pincus serves as Fellowship Director for the Sunnybrook Hip and Knee Arthroplasty Fellowship Program, where he is actively involved in surgical training and education.

During his training and early career, he received several prestigious honours, including the Lawson Family Most Outstanding Graduate Award from the University of Toronto Orthopaedic Surgery Program and the Bernie Langer Award from the University of Toronto Department of Surgery, recognizing the most promising early-career surgeon.

Dr. Pincus is committed to personalized evidence-based care and integrating the most advanced surgical techniques to help patients safely return to mobility, function, and quality of life.