An alternative technique of hand-sewn haemorrhoidopexy [HHP] (via a modified anoscope) to conventional surgery therapy, was first explored for treatment of grades III and IV haemorrhoids. Its usage was demonstrated for treating grades III and IV haemorrhoids for 51 patients from February 2008 to February 2011. Shorter wound healing time and lower complication rate were observed for the patients subjected to HHP. These patients also exhibited better tolerance for the operation and incurred significantly lower costs than patients who were treated with other therapies. The data achieved indicated HHP technique was safe, effective and painless for treating patients with grades III and IV or mixed haemorrhoids.