Background: There are many treatment methods for hemorrhoids that depend on degree of hemorrhoids which may be non-operative measures or procedural intervention. Recently Laser has been used in the treatment of hemorrhoids with minimal surgical interventions, less post-operative pain and hospital stay. This study Aimed to evaluate effectiveness of laser pile surgery in comparison to ligasure hemorroidetomy in treatment of hemorrhoid. Patient and methods: At Zagazig University's Faculty of Medicine, General Surgery Department, a randomized comparative clinical trial was carried out from January 2022 to July 2023. Thirty individuals with second- and third-degree hemorrhoids were enrolled. equally divided into two groups; group (A) undergoing Laser pile procedure, and group (B) undergoing LigaSure hemorrhoidectomy. Evaluation of both surgical methods used, timing of the procedure, operative and postoperative bleeding, discomfort following surgery, length of hospital stay, and return to normal activities. Results: The operation The LPS group experienced much less time and a shorter hospital stay. Pain was significant higher among ligasure group while bleeding and recurrence were significant in laser group 46.7% of cases had bleeding and 26.7% had failure or recurrence. There was one case of bleeding among Ligasure group and no failure or recurrence in the same group. There was significant difference between the groups regarding pain . Conclusion: The laser Pile surgery was easy, simple with short operation time, less pain and less hospital stay but expensive with high recurrence rate .