hi thanks for posting in HCM I have understand your concern cirrhosis is the end stage liver disease many causes for that like hepatitis virus , alcohol , biliary cirrhosis , autoimmune diseases etc.. initially it can be managed medically , small surgical procedures like TIPS to reduce portal hypertension , finally liver transplantation is the permanent treatment. your doctor is not giving you much time may be he is severely decompensated and what he was advised is correct ...piles and fissure are minor compared to present cirrhosis situation and there is more chance of bleeding if they operate now for piles.