[2025] EWHC 2025 (KB)

Both experts agreed that if the court finds that the claimant’s haemorrhoids were only grade 1 – 2, then surgery would not be indicated, and the claimant would not have opted for surgery.

For grade 3 or 4 haemorrhoids, the experts agreed that conservative treatment methods such as dietary advice, laxatives, creams, banding and injections might have provided a transient placebo effect but would not have addressed grade 3 or 4 haemorrhoids, nor the anal skin tags. Rubber band ligation would not have managed the skin tags and would likely have managed the prolapsing haemorrhoids for up to 2 years followed by likely recurrence. What the claimant would then opt to do would depend on her priorities and lifestyle choices. Most patients would opt for surgery because this would give the best long-term outcome.