INTRODUCTION: Suture hemorrhoidopexy (Trans anal suture mucorectopexy) is a new invention by an Indian surgeon for managing 2nd, 3rd and 4th degree hemorrhoids. It is based on principles of plication of vessels in the rectum above dentate line at two different levels by blocking of blood supply and preventing the neo vascularization and anchoring the rectal mucosa and submucosa to parks ligament. MATERIALS AND METHOD: Data of patients who underwent suture hemorrhoidopexy and Stapled hemorrhoidopexy between November 2017 to December 2019 were evaluated. 30 patients were underwent suture hemorrhoidopexy (group A) and 30 patients underwent for Stapled hemorrhoidopexy (group B). Operative duration, first defecation after surgery, immediate, early, delayed post–operative complications and duration of hospital stay were evaluated. RESULTS: Mean Operative duration for group A was 54 minutes and for group B, it was 37 minutes. Incidence of Postoperative pain i.e. VAS score > 2 is 40 % for group A and 66.66% for group B. Mean Hospital stay was 3 days for group A and 4 days for group B. Mean intraoperative blood loss is more in group B than group A (45ml & 25 ml). Incidence of Postoperative urinary retention is more in group B than group A (30% & 13.3%). Recurrence is more with group B than group A (20% & 6.6%). CONCLUSIONS: Suture hemorrhoidopexy can be recommended as a safe and cheaper alternative approach for surgical treatment of Grade– 2 to Grade–4 hemorrhoids after adequate training compared to Stapled hemorrhoidopexy.