Background:There are different systems utilized in the careful treatment of hemorrhoidal ailment. The present study was conducted to compare stapler hemorrhoidectomy and open hemorrhoidectomy. Materials & Methods: 70 hemorrhoids patients of both genders were divided into 2 groups. Group I was stapler hemorrhoidectomy group (SH) and group II was Open (Milligan Morgan) hemorrhoidectomy group (OH). Operating time (mins), first bowel movement (hours), return to normal daily activities (days), pain and complications. Results: Group I comprised of 25 males and 10 females and group II had 18 males and 17 females. Operating time (mins) was 24.3 in group I and 18.1 in group II, first bowel movement (hours) was 19.2 in group I and 34.6 in group II, return to normal daily activities (days) was 5.7 in group I and 7.2 in group II and VAS was 26.2 in group I and 50.8 in group II. Complications was bleeding seen in 1 in group I and 2 in group II, urinary retention 4 in group I and 5 in group II and bleeding and urinary retention 2 in group I and 1 in group II. The difference was significant (P< 0.05). Conclusion: Operative time, duration of hospital stay and return to normal activity were satisfactory with stapler hemorrhoidectomy than the open method.