its depend upon city hospitals expenses in some city cost can be less or high so consult on your place ayurvedic dr. or medical college Kshara sutra should be ligated, changed at least once in a week, it costs around 1500 to 2000 per kshara sutra. generally

Hi thanq for ur question, Well I have not mentioned regarding what medicines u took previously for it, and how longs its troubling for u...?? Considering ur worry I m suggesting u.. Kshara sutra is medicated thread which if very effective in treating piles, fistula, pilonidle sinus, chronic fissure with tag and so on... How many sitting is needed for u depends on ur clinical examination... It's absolutely no  post operative complications procedure, with zero reoccurance, so without any doubt u can go for it, Usually it cost for 8k to 10k maximum depends on ur sittings... Hope this information is helpful for u... With regards...