Is surgery the only treatment for piles? ft. Dr Usha Maheshwari. While surgical intervention is one of the treatment options for Piles, it's crucial to recognize that it's not the exclusive approach. Surgical treatments, such as hemorrhoidectomy, may be recommended for severe or persistent cases of Piles that don't respond to conservative measures. However, many individuals with Piles find relief through non-surgical methods, including dietary modifications, fiber supplements, lifestyle changes,