Background:Hemorrhoids are cushion sinusoids that are believed to be a component of the continence mechanism and help close the anal canal completely while the body is at rest.The present study was conducted to assess surgical management of hemorrhoids, Materials & Methods:84 patients of hemorrhoids of both genders were treated with open hemorrhoidectomy (Milligan-Morgan method). Features were recorded. Results: Out of 84 patients, males were 44 and females were 40. The common symptoms were bleeding through rectum in 24%, soiling of clothes in 60%, pruritis in 55%, mass through rectum in 32%, and pain during defecation in 60% cases. The difference was significant (P< 0.05). The grade of internal hemorrhoids was grade I in 14%, grade II in 26%, grade III in 45% and grade IV in 15%. The difference was significant (P< 0.05). Conclusion: Pruritus, mass through the rectum, bleeding through the rectum, clothing soiling, and pain during defecation were common symptoms.