Laser surgery offers good short-term relief, with 72% of patients reporting symptom improvement within two months. However, studies show a long-term recurrence rate of around 34%, meaning over one-third may experience return of piles symptoms after treatment.

Laser surgery mainly shrinks hemorrhoidal tissue but does not remove all diseased blood vessels or address underlying causes fully. This can lead to recurrence, especially in patients with advanced piles or those not following lifestyle changes.

Though minimally invasive, laser surgery may still cause complications including minor bleeding, fistula formation, incontinence, thrombosis, and local infections in about 18% of cases, posing risks similar to traditional surgery.

Due to the relatively high recurrence and complication rates, laser surgery should be approached with caution. It may suit select cases but other non-surgical or Ayurvedic treatments could offer safer, longer-lasting relief without these risks.