All haemorrhoidectomies [Park's modified Milligan-Morgan technique13] were performed by a single surgeon [NGR]. Prone-Jacknife position (with buttocks strapped apart) was used for those randomised to local anaesthesia while Lithotomy-Trendelenburg position was used for those undergoing the procedure under general anaesthesia. Those with Type B and C buttocks10 needed more Trendelenburg position.