Watch out the rubber band ligation procedures of hemorrhoids, it has a success rate of about 88%. The patient is laid down in the same position as we do per rectum examination, lie onleft side, with right knee drawn up,left leg straight and buttocks projecting over the operating table. A proctoscope is inserted into the anus to see hemorrhoid. The hemorrhoid is holded by forceps and made to move into the cylindrical opening of the ligator. The ligator is then pushed up, upto the base of the hemorrhoid, and the rubber band is applied. Rubber band cuts off circulation, hemorrhoid falls off after getting necroses and comes out by bowel movements. We are highly thankful to Dr Ritesh Pathak, Dr Ajay Agarwal and Dr Saurabh Kale.