Grotenhuis BA, et al. - Authors sought to investigate the introduction of a high-volume circular stapling device in stapled anopexy for hemorrhoidal disease; in particular whether an increased amount of resected tissue could affect patients’ short-term postoperative outcome. They introduced a high-volume stapling device for stapled anopexy safely with a significantly higher amount of resected tissue without a worse short-term outcome. Yet, it remained unclear whether higher stapling volumes could result in improved long-term outcome with less reinterventions.