The rubber band ligation procedure is the least invasive of these modalities, with a lower risk of complications and no requirement for hospitalization. As a result, the current study was designed to assess the efficiency of rubber band ligation in grade II and III internal haemorrhoids, as well as the size and pattern of post-procedural problems. This prospective observational research was carried out on a sample of 100 patients who visited our outpatient department and were identified as having either grade II or grade III haemorrhoids. Barron Ligator (Precise, Canada) banded all recruited research patients with haemorrhoids in a single session using a rubber band and the local anaesthetic drug xylocaine jelly. To measure symptomatic improvement, all patients were followed on the 10th day, 1st month, and 6th month following the surgery. The goal of this study is to determine the efficacy of rubber band ligation in several clinical parameters such as post-ligation pain or discomfort, the need for painkiller, any complications, and time lost from employment. After rubber band ligation, 89% of them had symptom relief, while the remaining 11% experienced lingering issues. As suggested by our study, we conclude that rubber band ligation for grade II and III haemorrhoids is a straightforward, safer, and easy-to-perform outpatient treatment with less analgesic requirements and no need for anaesthesia. Key words:Day case surgery, bleeding per rectum, mass per rectum, interno-external hemorrhoids, rubber band ligation procedure