How can you most effectively remove hemorrhoids, preferably without surgery?

Bowel regimen: Long term your best solution to hemorrhoids is bowel regimen; avoid straining/constipation. Fiber, increased fluid intake, stool softeners, probiotics and laxatives, to achieve 2 soft bowel movements per day. Okay to check in with your doc about piles/hemorrhoids. Okay to use salves and local hygiene, (shower and hairdryer the area daily). Good luck . Surgery if all else fails.