Introduction: Hemorrhoids arise from the enlargement and displacement of normal anal cushions, resulting in symptoms. The precise cause is still unclear, prompting various treatment modalities. Laser hemorrhoidoplasty is a relatively new, minimally invasive approach that preserves anal cushion and its function. This study compared laser hemorrhoidoplasty to conventional hemorrhoidectomy by evaluating intra and post-operative variables associated with patient care. Methodology: This prospective interventional study, conducted from August 2022 to June 2024, involved 90 patients with symptomatic grade II and III hemorrhoids. The participants were randomly allocated into two groups: 45 patients underwent laser hemorrhoidoplasty (LHP) and the remaining 45 had conventional hemorrhoidectomy (CH). The LHP procedure utilized a Lasotronix 1470nm diode laser. Results: The average surgery duration was significantly shorter for the LHP group (12.56 ± 2.08 minutes) compared to the CH group (23.29 ± 3.01 minutes, p<0.001). Postoperative pain scores on day 1 were lower in the LHP group (VAS: 3.27 ± 0.78) than in the CH group (VAS: 5.78 ± 0.99, p<0.001). This trend continued on day 3 (LHP: 1.04 ± 0.56 vs. CH: 2.44 ± 0.99, p<0.001) and day 5 (LHP: 0.04 ± 0.20 vs. CH: 0.53 ± 0.66, p<0.001). The average hospital stay was also shorter for the LHP group (1.69 ± 0.63 days) compared to the CH group (3.87 ± 0.96 days, p<0.001). Additionally, postoperative urinary retention occurred in 13.3% of CH patients versus only 2.2% of LHP patients (p=0.049). Conclusion: Patients undergoing laser hemorrhoidoplasty had a quicker surgery, experienced less pain, had faster recovery, and showed significantly better early outcomes compared to those undergoing conventional hemorrhoidectomy.