Band ligation (or banding) is an outpatient, office-based technique where the physician attaches a banding device to a short proctoscope or a colonoscope and inserts it into the anorectal canal. The physician then places a band around the dilated vein. Eventually the band will cut through the vein, and you’ll just pass it in several days as if you are having a bowel movement. This destroys the vein and eliminates the hemorrhoid. You may notice a little discomfort or even some blood streaking for a few days after the band has passed, but this is generally benign and with good anal hygiene should not be a problem.