Abstract
Chronic hemorrhoids are a widespread disease worldwide. In spite of improvement and development of conservative therapy and minimally invasive treatment methods some patients have indications for radical hemorrhoidectomy. The greatest difficulties in coloproctology are encountered in treatment of chronic hemorrhoids of III-IV stages. On the basis of literature data numerous modern approaches to surgical treatment of this pathology are presented. The multiplicity and variety of applied techniques can be explained by the surgeons' desire to achieve radical cure of patients combined with optimal functional results.