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Background: The comparison of outcome of open hemorrhoidectomy vs transanal suture hemorrhoidopexy Aims & Objectives: To evaluate and compare the outcome of open hemorrhoidectomy (Milligan Morgan`s technique) and transanal suture hemorrhoidopexy (Chivate`s procedure). Methodology: Observational Retrospective and concurrent prospective cohort study utilizing 25 patients in two groups. Results: Statistical Analysis suggest significant advantage of transanal suture hemorrhoidopexy over open hemorrhoidectomy.