As someone with pretty bad hemorrhoids, I’m hesitant to ask my doctor about surgery because I’ve been told the hemorrhoids will come back, without question. So it’s even still just a temporary fix…
There is something going wrong in your body that has hemorrhoids as a downstream effect. Surgery can't fix the root cause.
If you have constipation then consider the following: the large intestine has bacteria that process your undigested food and this can have many nasty consequences. What is going wrong in the small intestine that leads to this?