Abstract Context: Hemorrhoids affect a significant proportion of the population, and the choice between laser hemorrhoidoplasty and conventional hemorrhoidectomy remains a crucial clinical decision. Aims: The aim of this study was to compare the outcomes of piles management with laser hemorrhoidoplasty versus conventional surgical hemorrhoidectomy. Settings and Design: A retrospective data collection from hospital registry about 50 patients who underwent laser hemorrhoidoplasty and another 50 patients who underwent conventional hemorrhoidectomy. Subjects and Methods: Demographic and clinical data were analyzed using descriptive and inferential statistics. Data were meticulously collected and analyzed, employing SPSS statistical software. Statistical Analysis Used: SPSS statistical software was used for statistical analysis. Results: The mean age was 40.45 years, with a balanced gender distribution. While no significant difference in age was observed between treatment groups, notable variations in gender and hemorrhoid degree distribution were evident. Laser hemorrhoidoplasty exhibited a higher percentage of patients with second-degree hemorrhoids, while conventional hemorrhoidectomy had a higher prevalence of more severe hemorrhoids (degree 3 or 4). Clinical outcomes revealed that laser hemorrhoidoplasty was associated with less postoperative pain and bleeding. Notably, all laser patients reported mild pain (1–3), while the conventional group exhibited a broader spectrum, including severe pain (7–9) in 96% of cases. Furthermore, bleeding outcomes were more favorable in the laser group, with 100% experiencing minor bleeding compared to the conventional group, which showed a higher incidence of both minor and moderate bleeding. Conclusions: The observed advantages of laser hemorrhoidoplasty in terms of reduced postoperative pain and bleeding suggest its potential as a favorable alternative, particularly in less severe cases.