Research nurse [WH] assessed their pain and expectation scores in the post operative period on the day of surgery and spoke to all the patients on the day after surgery to record their comments and reinforce the importance of accurate scoring. Patients then recorded their pain and expectation scores at home for 10 days. This was the average of the pain that the patients experienced before, during and after defecation or the average of the pain during the course of the day. Two patients failed to return their 10 day pain scores [7%].