I totally oppose hemorrhoids surgery, because I have had surgery, several times but has not helped me at all.
If anything, it actually worsened my problem from the aspect of extra pain and the hemorrhoids returned in less than a month.
However there is in some particular circumstances, where the only solution is surgery. Usually one of these particular circumstances is when you have external thrombosed hemorrhoids.
Last but not least is education, which is exactly what you are doing by reading this site. Nothing beats knowledge, and if you want to take this a step further you can read my E-Book which explains the step by step guide to get rid of hemorrhoids, and making sure they never come back.
Lets take a look at the first step in hemorrhoid treatment, which would be soaking in a sitz bath for twenty minutes at the time. This should be your top priority.
Repeat three times daily, and alternate with the ice packs.
Take Bruffen tablets to alleviate the pain, and use a hemorrhoid ointment like Preparation H.
The above mentioned hemorrhoids treatment should suffice to help you start get relief.