Piles Laser treatment is one of the least painful surgical treatments for piles. Formerly, piles surgery was fright by most due to the amount of pain caused. Laser surgery does not create any type of sparks, steam, or smoke. This makes the surgery safe. How long does laser treatment for piles take? The process takes only a few minutes, and patients can be discharged the same day. There are no cuts, stitches, wounds or dressings. There is negligible pain or bleeding. They can have a normal diet within 4 hours of the procedure and can resume their routine work within 24 to 48 hours.