Most hemorrhoids, especially those in earlier stages, should not require surgery unless symptoms become severe and begin to interrupt daily routines and normal living habits. There are many things you can try before resorting to potentially expensive surgeries.
A change in diet can be a big factor in controlling hemorrhoid irritation and pain. Eating plenty of fiber so you do not have to strain to move your bowels is a very good first step. Also, drink more water and stay away from hot, spicy foods, alcoholic beverages, and exercise that put too much pressure on your lower abdomen. Warm baths a few times a day have also been proven to help alleviate symptoms. There are also some all-natural creams you can try.
Asking your doctor about alternatives to surgery can also give some insight on different ways to relieve pain or itching. Surgery is usually reserved for very serious cases.