This video demonstrate PPH stapled Piles Surgery step by step by Dr R K Mishra. PPH-stapler procedure for treatment of haemorrhoidal prolapse is an important improvement. Haemorrhoidal disease is the most frequent and ancient proctological pathology. Haemorrhoidectomy is always feared for intensive post-operative pain and complications. Stapled hemorrhoidopexy is good procedure but may be followed by severe postoperative complications of which haemorrhage is one of the most serious early events. Surgical techniques have advanced more and more with the aim of reducing the post-surgical complications and to help a faster recovery. “Open hemorrhoidectomy”, according to Milligan-Morgan procedure, has been the most used method in Europe, also in the “Ligasure” and “Ultracision” variants. “Closed hemorrhoidectomy”, according to Ferguson procedure, has been the most used method in the USA. Stapled hemorrhoidopexy (PPH-stapler) is an alternative method to conventional surgical procedures. It has many advantages such as less pain, faster recovery and a quicker return to normal activities. PPH stapler procedure for treatment of haemorrhoidal prolapse.