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Although new techniques have been introduced for the treatment of haemorrhoids in the last decade, there are few reports on long term results. We performed a retrospective study to analyse the long term results and patients satisfaction of the most common hemorrhoidectomyprocedures performed in a single centre.Four hundred and twenty-six consecutive patients underwent haemorrhoidectomy from 2002 to 2005. Stapled haemorrhoidopexy and diathermy Milligan Morgan haemorrhoidectomy were performed in 78 and 113 patients respectively. Harmonic Scalpel and Ligasure excision was performed in 95 and 67 patients respectively. The main outcome measures were recurrence and complication rates. Patients were asked to assess their satisfaction with the results of surgery. The ANOVA and Chi squared test were used to compare outcomes.Follow-up data over 4 years were available for 353 patients (82.8%). The groups were statistically comparable. There was no significant difference in long term outcome, with the exception of for recurrence (11.5%), recurrent bleeding (9.8%) and reintervention (11%) in the stapled haemorrhoidopexy group (P = 0.028).The haemorrhoidectomyprocedures analyzed were comparable in terms of long term results. Stapled haemorrhoidopexy carries a high risk of recurrence.