Hi Ashleyawander, Thanks for writing your query. Surgery should be cosidered for hemorrhoids which are associated with persistent pain and bleeding. Since you are having hemorrhoids which are symptom free, you can go for conservative measures like eating fibre rich foods, drinking lots of water, taking stool softeners if constipated. You can also opt for minor procedures like rubber band ligation or cauterization done under medical supervision. I hope this is helpful to you. Thanks.