Piles one of the most common cause of Bleeding in motion area. All bleeding needs to be consulted by surgeon to rule out malignancy. Piles is treated according to its grade like Grade 1 & 2 can be easily managed with medical treatment or outpatient procedures like bending or Sclerotherapy. Grade 3& 4 will need some surgical treatment like MIPH ( Stappler Hemorrhoidopexy ) or Suture Rectopexy.