Explore the simple office procedure of hemorrhoidal banding in this comprehensive lecture by Dr. Gordon V. Ohning from the UCLA Mellinkoff Gastroenterology and Hepatology Symposium. Delve into the pathophysiology, epidemiology, diagnosis, and grading of internal hemorrhoids. Examine various treatment options, including medical therapy and anoscopic or endoscopic techniques, with a focus on rubber band ligation (RBL). Learn about the RBL technique, its general principles, and potential complications. Gain insights into associated conditions, differential diagnoses, and contraindications for RBL treatment. Compare different treatment modalities and understand the distinctions between internal hemorrhoids and anal fissures through detailed explanations and visual aids.