I have piles since childhood when I was only 5-6 yrs old. Some how it was cured(not fully). Now I am 28yrs old. Some times I see blood during bowel. Now days a small external portion has come out (thrombosed). I have checked with several doctors, they advised me for surgery. I am affraid of regular hand surgery. I have controlled my diet and nowdays feeling better. Today I checked with one laser surgeon, he found that I have two piles (7 and 11 o'clock position) and one fissure. He advised me to do laser surgery, which will take 10-12 minutes and I will be able to do regular work after the surgery. This surgery is quite expensive (Rs. 12000/). What should I do?