please take your time considering the sugery. i have known many women that were told it is a simple operation and it was SO NOT!!!! one friend has never been the same, pain every time she goes, or tries to go, she has trouble now, real pain, sharp, piercing pain. it should be a simple procedure, if they do it well, but if they do not it is a terrible place for a mistake, a bad slip and cut, scar tissue....go with the sitz bath, and there are these, well, pulgs, that go in the freezer that you can buy for the burning. ther is also a chinese herb called fargulin for piles, it is available from most acupuncturists and some chinese grocery stores, it really works, sucks em right back in. imediately after birth and for the first year a formula called bu zhong ye chi wan is like a lifting and tucking kind of herbs, helps bring everything back up, stomach, breasts, prolaspses of rectum....know a good acupuncturist? there is alot you can do.....blessings.