&NA;Fifty‐six patients who had hemorrhoidal crisis underwent urgent radical hemorrhoidectomy with anoderm‐flap repair. There was no significant increase in complications as compared with elective hemorrhoidectomy. One patient (1.8 per cent) had one of his three flaps separate. Anal packing with a central‐tubed cotton plaque is of benefit to ensure takes of anoderm flaps and in reducting postoperative hemorrhage.