 This study compares the effectiveness of ischurectal block versus spinal anesthesia in reducing postoperative pain, analgesic consumption, and hospital stay in patients undergoing hemorrhoidectomy. The results indicate that ischurectal blocks cause less pain, require fewer painkillers, and reduce hospital stay after surgery than spinal anesthesia. This article was authored by Sedi Gehnadri, Hormozma Moodvand, Cheri Rockrock, and others.