Can I avoid surgery even if I have Hemorrhoids or Piles?

YES.

The key is to get the correct diagnosis at an early stage because stage 1 & 2 of piles can be treated without surgery or operation by lunch-time procedures like;

Infra-Red Beam Coagulation, Suction Banding, Special Injection Sclerotherapy. These procedures do not need admission to hospital, no anaesthesia, no cutting, no bleeding, no pain and take not more than 10 minutes.