Your first appointment involves a consultation, making a diagnosis of your problem with a rectal examination, and formulating a treatment plan. Appropriate medical therapy will be started. You will be shown how the banding procedure works and be given time to have your questions answered. Banding may be started on your second visit. Also we suggest you allot up to an hour for your first visit. Subsequent treatment sessions will be shorter, around 20 minutes. There are on average three banding visits and a fourth follow up exam. After a hemorrhoid banding procedure, we recommend that you refrain from vigorous activities the rest of the day and resume full activity the next day. Most patients with office jobs find they can return to work immediately following their appointment.