Objective: To assess efficiency of Rubber Band Ligation as a first choice in the treatment of haemorrhoids.

Methods: This study carried out in Queen Alia Hospital and Al-Husain Hospital (RMS) over the last two years were (106) patient’s referred from the surgical outpatients for the treatment of haemorrhoids, (86) proved to have haemorrhoids (78) f them were considered suitable for Rubber Band Ligation in which only first, second and third degree haemorrhids were treated by Rubber Band Ligation.

Results: The results were assessed three months after completing treatment (86.3%) of the patients had excellent and good result, (4.5%) had poor results and were referred to surgery.  Complications were generally minor (pain, bleeding, band slipping and band related abscess) and were  manage satisfactorly

Conclusion: Rubber band ligation is simple, safe, relatively painless and cheap outpatient procedure suitable for first, second and even third degree haemorrhoids, and we recommended it as a first choice in the treatment of haemorrhids..