Introduction: Hemorrhoidectomy remains a procedure for 3rd also 4th grade hemorrhoids. Here remain 2 procedures through that hemorrhoidectomy might remain completed in which pain remains left exposed also permitted to restore via inferior intension also locked procedures in which harm remains closed by absorbable junctions. Aim: To associate post-operatively discomfort in addition retrieval in open in addition closed procedures in addition assess finest high-quality of process for 3rd before 4th grade hemorrhoids. Study Design: Potential randomized research. Settings: Our current research was led at Sir Ganga Ram Hospital Lahore. Duration: 1 year (September 2017 to October 2018). Sample Size: 76 patients (38 patients in every set). Inclusion Criteria: Cases by 3rd/4th grade hemorrhoids. Exclusion Criteria: Cases by related anal in addition perianal circumstances similar fissure in ano, inflammatory bowel illnesses besides rectal distortion, portal hypertension remained excepted from research. Results: Average hospital admittance for open set remained 7 days in addition closed set remained 4 days. Post operatively aching remained realized in 78% in open set also 49 % in closed set. Discomfort remained reassured former in closed set. 73% cases had entirely whole injuries at 4 weeks in closed set in assessment to solitary 43% in exposed set. Anal stenosis remained perceived in 3 cases of exposed hemorrhoidectomy. Conclusion: Closed hemorrhoidectomy remains process of excellent for 3rd/4th grade hemorrhoids. Keywords: Milligan-Morgan, Ferguson, Hemorrhoidectomy.