Symptoms of hemorrhoids include rectal itching, rectal bleeding and anorectal tissue protrusion. Modes of therapy include surgical and non surgical options. In our office we offer the CRH O’Regan System. CRH O’Regan System is a brief painless procedure where a small rubber band is placed around the base of the hemorrhoid. This banding procedure works by cutting off the blood supply to the banded tissue, resulting in scaring of surrounding hemorrhoid tissue that eliminates the problem cause in patients. About 2% of hemorrhoid incidences are too advanced for rubber band ligation alone. Appropriate referral for surgery is made in this instance.