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How Long Do You Wait for a Hemorrhoid Specialist in the US? (And What to Do)

Dr Aref Hammam
Dr. Aref Hammam
Laser Proctology Specialist, Proctoclinic Jordan
Published: July 18, 2026
Category: Patient Guide

Quick Answer

Most patients in the United States wait 4 to 6 months to see a hemorrhoid specialist and receive surgical treatment — and in major cities like New York and Chicago, the wait can stretch even longer. A first gastroenterology or colorectal surgery appointment alone now takes an average of 40 days (AMN Healthcare, 2025), and surgical scheduling adds weeks or months on top of that. If your symptoms are severe, that wait is not just uncomfortable — it can allow the condition to worsen.

You searched for this because you already know something is wrong.

Maybe it’s been weeks of pain every time you sit down. Maybe you’ve noticed bleeding that won’t stop. Maybe you’ve tried creams, fiber supplements, and warm baths — and none of it is working anymore. And when you finally called a specialist’s office, you were told the first available appointment is in three months.

That response is more common than most people realize, and it is one of the most frustrating realities of getting colorectal care in the United States today.

This guide explains exactly what’s happening, what it means for your health, and — most importantly — what you can actually do about it.

40 days

avg wait for gastroenterologist (AMN 2025)

4–6 mo

total wait reported by patients before treatment

+19%

rise in specialist wait times since 2022

Why Is the Wait for a Hemorrhoid Specialist So Long in the US?

This is not a problem any individual clinic created. It’s a structural issue decades in the making. According to the 2025 AMN Healthcare Survey — covering 15 major US metro areas including New York and Chicago — the average wait for a new gastroenterology appointment is now 40 days, up 19% since 2022 and up 48% since 2004.

But that 40 days is just the consultation. If surgery is needed, you then enter a second queue for operating room availability. For non-urgent elective procedures — how most hemorrhoidectomies are classified — that adds another 6–10 weeks. Insurance pre-authorization sits in between, adding 2–4 more weeks.

The structural reasons behind the delay

A growing physician shortage. The AAMC projects a deficit of up to 86,000 doctors by 2036. Colorectal specialists are already hard to access.

Insurance authorization layers. Insurers often require documentation of failed conservative treatment before authorizing surgery — adding weeks.

Hospital consolidation. Operating room time is a shared, scarce resource allocated across many competing departments.

Embarrassment-driven delay. Many patients wait weeks before making a first call, entering the queue with a more advanced condition.

U.S vs Proctoclinic wait time difference showing How Long Do You Wait for a Hemorrhoid Specialist in the US

What happens to hemorrhoids while you wait?

Hemorrhoids progress on a grade scale from 1 (mild internal swelling) to 4 (permanently prolapsed). The longer treatment is delayed, the higher the likelihood of progression. If conservative measures haven’t resolved your symptoms within 4–6 weeks, the underlying issue is unlikely to self-resolve.

Don’t wait — seek emergency care if you experience:

What to do while you're waiting for the piles treatment

If you’re currently in the queue for a US specialist, the following genuinely help reduce symptoms and prevent progression.

What Helps

Increase dietary fiber to 25–35g daily. Softens stool, reduces straining, directly reduces pressure on hemorrhoidal tissue. Psyllium husk (Metamucil) is effective and low-cost.

Hydrate aggressively — 8–10 glasses of water daily. Dehydration makes stool harder, which worsens straining.

Sitz baths twice daily. Warm (not hot) water for 15 minutes, especially after bowel movements. Reduces inflammation and provides relief.

Avoid prolonged sitting on the toilet. Sitting increases pressure on the anal area. Limit bathroom time and never bring your phone.

Use a donut cushion if needed. For patients with significant external hemorrhoid swelling, pressure-relieving cushions can make daily life more manageable.

Keep a symptom log. Document bleeding episodes and any changes. Useful for your specialist — and for submitting your case for an overseas review.

What to Avoid

Recognizing When the Wait Has Become Too Dangerous

Not all hemorrhoid situations can safely wait 4 to 6 months. There are specific symptoms that require urgent or emergency evaluation, regardless of the appointment queue:

Heavy or continuous rectal bleeding — not just a few drops, but blood filling the toilet bowl or soaking through clothing

Severe, sudden anal pain — especially if accompanied by a visible, hard, dark-colored lump, which may indicate a thrombosed external hemorrhoid

Prolapsed hemorrhoid that cannot be manually reduced — hemorrhoid tissue that protrudes and cannot be gently pushed back inside

Signs of infection — fever, chills, increasing swelling, or discharge in the anal area

If you experience any of the above, go to an emergency department or urgent care clinic that day. Do not wait for your scheduled appointment.

Is There a Faster Option? What Patients Are Doing Instead

A growing number of patients — particularly those from Arabic-speaking communities in the US — are exploring laser hemorrhoid treatment abroad as a direct response to the wait time crisis.

At Procto Clinic in Amman, Jordan, the process works as follows:

Step 1

Submit your medical reports online.

 

You don’t need to travel to get a diagnosis. You share your existing reports, photos if applicable, and symptom history. Our specialist reviews your case within 24 hours.

Step 2

Receive a treatment plan and scheduling date.

If you are eligible for laser treatment, we provide a detailed plan and can schedule your procedure within days — not months.

Step 3

Travel to Jordan.

 

Queen Alia International Airport is a major hub with direct flights from New York (JFK) and connections from Chicago. The clinic is approximately 30 minutes from the airport.

 

Step 4

Procedure and recovery.

The laser hemorrhoid treatment takes 30 to 45 minutes and is performed under anesthesia. Most patients are discharged the same day. The majority of our international patients spend 3 days in Jordan total before traveling home comfortably.

Step 5

Follow-up remotely.

 

Post-procedure support and follow-up consultations are conducted via WhatsApp and video call.

Why Laser Treatment — and Why Jordan?

Traditional hemorrhoidectomy (surgical removal) typically involves general anesthesia, a hospital stay, and a recovery period of 2 to 8 weeks before patients can return to full activity.

Laser hemorrhoid treatment — the method we specialize in at Procto Clinic — is minimally invasive. It uses concentrated laser energy to shrink hemorrhoidal tissue with precision, causing less damage to surrounding tissue, significantly less post-procedure pain, and a much faster return to normal life.

The procedure is performed by Dr. Aref Hammam, a proctology specialist with over 15 years of experience and more than 9,00 laser procedures completed. A female specialist, Dr. Maha Mohammadi, is available for patients who prefer a female doctor — a consideration that matters greatly to many of our Arabic-speaking patients.

The clinic operates under ISO 9001 certification, meaning our quality management systems meet internationally recognized standards for patient safety and care consistency.

Common concerns

Addressing the Concerns Patients Always Have

We understand that considering treatment abroad raises real questions. Here are the ones we hear most often — answered directly.

Is it safe? Is the medical standard comparable to the US?

Procto Clinic is an ISO 9001 certified facility. Dr. Aref Hammam completed his training in the United States and has performed over 8,500 laser procedures. Laser proctology is a well-established technique used in leading medical centers across Europe, the US, and the Middle East. The laser systems we use are internationally approved medical devices.

Is the total trip actually cheaper than staying in the US?

In many cases, yes — particularly for patients without insurance or with high deductible plans. Traditional hemorrhoid surgery in the US can cost $10,000 to $20,000 or more when you factor in surgical fees, anesthesia, hospital charges, and follow-up care. Our transparent pricing covers the procedure itself, and the cost of flights and 3 nights in Amman is typically a fraction of the US surgical bill. We provide a full cost breakdown during your case review.

What if I have complications after I return home?

All our international patients are supported via WhatsApp and video consultation following their return. If a complication requires in-person evaluation in the US, we provide full documentation of the procedure performed to share with local physicians. In 15 years of practice, serious post-procedure complications requiring emergency intervention are extremely rare in our laser procedures.

I can’t just fly to Jordan — what about my family, my job?

Most patients spend only 3 days in Jordan. Many US patients combine the trip with a short visit to family in the Levant, making the travel less disruptive. The procedure itself is same-day; you are not admitted to a hospital. We have worked with patients who traveled alone, with a spouse, and with extended family. Our team communicates in both English and Arabic throughout the process.

Common Questions

The most common concerns — answered directly

How long do you wait to see a hemorrhoid specialist in the US?

Based on the 2025 AMN Healthcare survey, the average wait for a gastroenterology appointment in major US cities is now 40 days. When you add insurance authorization and surgical scheduling, most patients wait 4 to 6 months between deciding to seek treatment and actually receiving a procedure.

Can hemorrhoids get worse while waiting for treatment?

Yes. Hemorrhoids can progress through grades 1 to 4 during extended waits. Complications including thrombosis (painful blood clots), significant bleeding, and prolapse that cannot be manually reduced are all more likely the longer treatment is delayed.

What is the fastest way to get hemorrhoid treatment in the US?

Urgent care and emergency departments can provide immediate evaluation for severe symptoms. For elective procedures, private pay arrangements with some colorectal surgery practices can shorten wait times. Alternatively, a growing number of patients seek treatment abroad — particularly through laser proctology clinics in Jordan, which offer case review within 24 hours and scheduling within days.

Is laser hemorrhoid treatment available in the US?

Laser-assisted hemorrhoid procedures are available at some US centers, but access varies significantly by location and insurer. The procedure is more widely established and accessible in specialist laser proctology clinics in Europe and the Middle East.

How long does laser hemorrhoid treatment take to recover from?

Laser treatment typically involves significantly less post-procedure pain than traditional hemorrhoidectomy. Most patients treated at Procto Clinic resume light daily activity within 24 to 48 hours and return to work within a week. Full recovery is generally complete within 2 to 4 weeks.

Is it safe to fly after laser hemorrhoid treatment?

Most of our international patients travel home within 3 days of their procedure without complications. Our specialists confirm individual fitness to fly before discharge based on the patient's recovery progress.

How do I submit my case to Procto Clinic for review?

You can submit your medical reports and symptom history through our online consultation form or message us directly on WhatsApp. Our specialists review submitted cases within 24 hours.

Don't wait months for an answer that can come in a day

Submit your reports for a free specialist review. We respond within 24 hours — in English and Arabic.