In out station cases where it is unable to visit us every week, we provide the required no. of Ksharasutra and video Cd of the procedure to change the Ksharasutra (these are provided to only those patients who have been treated/operated at our hospital). The changes of Ksharasutra can be performed by any surgeon, proctologist, Ksharasutra specialists who concedes to do so.