Background: Hemorrhoids are common anorectal disorders. That presents with various manifestations; however, bleeding, pain, swelling, soilage and pruritis are the most common presenting symptoms. Each case should be treated individually according to its presentations, the severity of the condition and the degree of haemorrhoids. Commonly grade 1 and 2 respond well to conservative measures. Grade 3 and 4 haemorrhoids need intervention either office-based procedure or surgical operation. Objective: To compare between the two approaches for hemorrhoid surgery- conventional hemorrhoidectomy and Ligasure hemorrhoidectomy- in terms of operative time and intraoperative blood loss, as well as postoperative pain, hospital stay, healing process, bleeding, recurrence and anal stenosis. Methods: This study is a prospective randomized study that was conducted at Ain Shams University Hospitals, Ahmed Maher Teaching Hospital and other authorized hospitals under supervision of thesis supervisors comparing, between conventional and the new modality ligasure hemorrhoidectomy as regards intraoperative blood loss, operative time, postoperative pain, hospital stay and healing process. The study included thirty patients selected by the method of random sampling of patients with hemorrhoids. The 30 patients of the study were subjected into two groups. Group (A) included 15 patients that have been managed by conventional hemorrhoidectomy. Group (B) included another 15 patients that have been managed by ligasure hemorrhoidectomy. Results: The study results found that LigaSure hemorrhoidectomy, in comparison with conventional hemorrhoidectomy, had statistically significant less intraoperative blood loss as well as shorter operating time. The operating time in Ligasure was 13.13 ± 5.55 min.; however, in conventional procedure was 16.67 ± 4.88 min. with P value 0.075. There was a highly significant effect regarding postoperative pain control on the patients underwent Ligasure Haemorrhoidectomy throughout the first month follow-up as assessed by the numerical analogue pain scores, The P value was <0.01. There was no statistically significant difference between Ligasure heamorrhoidectomy and conventional haemorrhoidectomy patients regarding post-operative hospital stay, healing process and complications. Conclusion: Ligasure haemorrhoidectomy, when compared with conventional haemorrhoidectomy, is simple, safe and effective treatment modality. Keywords: Ligasure Hemorrhoidectomy.