I'm a 44 yr old male who had grade 4 circumferential thrombosed internal hemorrhoids and an anal tag removed 18 days ago.....like many others I suffered with significant pain and bleeding for 10+ yrs. I kept telling myself it was going to get better but I saw myself bleeding more days than not usually brought on by physical strain/lifting heavy objects, even playing golf. I became a prisoner to this condition and finally decided to take action. Everyone feels pain a little differently, I think a lot of this has to do with the severity of the hemorrhoids too. I researched my doctor well and I felt I had a surgeon as good as anyone in my area. I still feel that way. All of the people who helped me were excellent. Now to the recovery. Pain set in about 3 hrs after the procedure and it was intense. I believe it two days for my first bm after eating just apples, grapes and vicodin plus stool softeners. I've experienced a lot of pain in my life. Nothing could even touch the pain of the first bm. For approximately 7 days the pain was the same excruciating bms, constant pain. On the verge of passing out from the pain and tears on the 3rd day. And I'm a tough guy, former boxer, I don't cry. Now on the 18th day I'd say I feel hopeful I've turned the corner. I am able to use the toilet with stinging pain but it's manageable and has been for 3 days. The swelling has gone down quite a bit but I'm icing constantly and taking lots of sitz baths. My recommendation. Take Ducolax 4 pills each night before you go to bed. Eat healthy food, lots of fruit. Do not sit on the toilet, squat over it, that will help a lot. If you'd have asked me within the first 2 wks if I would do it all over again I would've said hell no! The recovery was brutal for me and it's not over. But now I'm feeling better each day and have hope I can live the active lifestyle that I've been unable to for many yrs now. Best of all no more bleeding for the last 4 days. I think I have a chance at feeling normal again within two wks. Ask me now whether I'd have the surgery if I could go back in time? With every day I'm leaning more towards yes. I tried everything to avoid the surgery and nothing worked. Sticking an ice pack in your butt and trying to stop bleeding for 2 wks while you can't work is no way to live. Which is where I was pre-surgery and the pain was very bad. At about the 2 wk mark post surgery I began to feel better than pre-surgery. I would say plan on missing 3 to 4 wks of work if you have a severe case and if it is severe don't let this scare you away. I would do it again because I'm going to have a normal life not living around my hemorrhoid symptoms, missing work and important family time. The recovery is tough but for some of us a month is nothing compared to the yrs we've lived with them. Do it! But be ready because it's gonna hurt.