Perianal block was used for all patients irrespective of their randomisation. GH were given the block prior to commencement of surgery. This was performed with 20 ml of 1% Lignocaine (with 1 in 10000 Adrenaline) injected at four sites [midline anterior and posterior; left and right lateral], fanning the needle in three directions at each of the four sites; care being taken to inject outside the external sphincter, to avoid pain. Once the sphincter muscle relaxed with the perianal block, a further 10 ml of the same anaesthetic was injected submucosally raising a bleb in each of sites corresponding to the sites of perianal block. This bleb was massaged inferiorly. No sedation was used with local anaesthetic haemorrhoidectomy.