THD procedure has been the worst nightmare for me. Excrutiating pain, anal spasms, painful BMs.... Doctors will tell you after its done that yes itj is in fact painful. There are lucky people with no pain but for me it has been hell. Developed and ileus and a colon obtruction after it. One of my external sutures rupturing not long after the most excrutiating Painful BM. I have to get a nerve block down there which was like getting 6 IM shots in the anal muscle. WORST PAIN EVER....I was on a clear to full liquid diet for over a week because I could not tolerate food. It has been 2 weeks and still the pain and spasms are present.