I also came across this site doing some research and appreciated the input on my post (the morning of my surgury consult). You can ready about my experience below here, as I ended up having one hem. removed about 2 weeks ago. My bottom still is a little sore/uncomfortable, but WAY better than the pain I was experiencing before. I hope that my follow up description has not scared anybody - I just chose to not be sedated and yes it hurt like heck!!! (I also did not inquire of any other alternatives - didn't really have all the info)
If you have just been suffering like I had been - I finally told my general practitioner to send me to the surgeon and they did with no problems. Before, I felt this was a ob/gyn type of problem since I had gotten them from childbirth. However, the doctors/nurses said that when a person suffers like this for years that you should see your regular doctor to decide on the surgery referal.
Good Luck, you don't have to live with the pain forever!