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Symptoms of hemorrhoids frequently return after several years and may require further treatment. Hemorrhoids Treatment: Rubber Band Ligation. The principle of rubber band ligation is to encircle the base of the hemorrhoidal clump with a tight rubber band. The tissue cut off by the rubber band dies, and is replaced by an ulcer that heals with scarring. Symptoms frequently recur several years later, but usually can be treated with further ligation.