Hemorrhoid banding, also called rubber band ligation, is a treatment method for hemorrhoids that do not respond to home treatments. It is a minimally invasive technique that is done in the office. Your healthcare provider will put a short, lighted tube called an anoscope into your rectum. The scope is used to see the hemorrhoids. When visualized, 1 or 2 tiny rubber bands are placed around the base of each hemorrhoid. The bands cut off blood flow to the hemorrhoids. The lack of blood flow will cause the hemorrhoids to dry up and fall off in 1 to 2 weeks.