This is a comparative study between Open and Closed Hemorrhoidectomy. The comparison has been done with postoperative pain, bleeding, operating time, duration of stay and wound healing in patients undergoing open and Closed Hemorrhoidectomy. Ten patients (7 males & 3 females), admitted between Jan 2013 to Dec 2013 diagnosed as external haemorrhoids who underwent open/closed haemorrhoidectomy under spinal anesthesia at Shivamogga Institute of Medical Sciences(SIMS), were selected. Median age of patients admitted for open haemorrhoidectomy was 42.6 years and 43.1 years is median age in patients posted for closed hemmoroidectomy. Out of 10 cases 6 were assigned for open haemorrhoidectomy and 4 were assigned to closed haemorrhoidectomy. Mean operating time in open hemmoroidectomy was 45 mins and in closed hemmoroidectomy 60 min. Early postoperative mild bleeding was noted in two patients in open haemorrhoidectomy as compared to one patients in the closed group. The pain scores were significantly low in the open group compared to closed haemorrhoidectomy procedure. Hence better outcome in terms of less post-operative bleeding and complete wound healing is provided by closed haemorrhoidectomy , but it is associated with more pain and requires longer operative time as compared to open haemorrhoidectomy.