Background: Hemorrhoids are a very common anorectal condition defined as the symptomatic enlargement and distal displacement of the normal anal cushions. Objective: The present study aimed to compare between laser hemorrhoidoplasty and conventional open surgical hemorrhoidectomy in treatment of the hemorrhoidal diseases. Patients and methods: This study included 30 patients with symptomatizing hemorrhoidal diseases. They were divided into two groups: 15 patients underwent open method (MMH) and 15 patients underwent laser method (LHP). They were admitted to General Surgery Department, Faculty of Medicine, Zagazig University Hospitals with symptomatic hemorrhoidal diseases. Full history, clinical examination and pre-and post-operative assessment were performed. Results: The mean age was distributed as 36.03 ± 7.32 in the MMH group and 35.73 ± 8.39 years in the LHP group with no significant difference between both groups. The mean operative time was distributed as 29.53 ± 4.05 and 14.60 ± 3.13 minutes for MMH and LHP groups respectively. The mean hospital stay for MMH group was 36.25 ± 6.58 hours and 7.85 ± 2.11 hours for LHP, MMH group significantly associated with longer hospital stay. MMH group was significantly associated with more bleeding at 1 st and 2 nd week but no bleeding founded after 2 nd week at both groups. Conclusion: laser hemorrhoidoplasty (LHP) technique for the management of hemorrhoids was, with shorter operative time, less postoperative pain, shorter hospital stay, and less postoperative complications than open surgical hemorrhoidectomy.