Objective: To compare the clinical outcome, incidence and interval of recurrence after conservative versus surgical management of thrombosed external hemorrhoids

Material  and Methods: It is a prospective study which was  conducted in AIMSR ,Bathinda ,Punjab.  The study was carried out randomnly for a period of 6 months with thrombosed   external hemaorrhoid .  Clearance from the ethical committee was  obtained  for the study.

Inclusion criteria: patient of both gender male and female between age 18 to 78 years who will present with thrombosed external pile.

Exclusion criteria: all grades of  internal hemorrhoids , anal fissures,fistula, anorectal malignancy, or any inflammatory disease, and if the patient did not comply with the treatment.

Conclusion Although most patients treated conservatively will experience resolution of their symptoms, but surgical treatment, i.e,exision of thrombosed external hemorrhoids results in more rapid symptom resolution,  lower incidence of recurrence, and more satisfaction with the treatment