Background: Various modalities of treatment for haemorrhoids were attempted but the best treatment remains unanswered despite the wide variety of treatment options in use. Although surgical haemorrhoidectomy is a more definitive procedure, it has a reputation of having a significant postoperative pain and an extended recovery time. Hence non-surgical procedures such as Rubber band ligation, injection sclerotherapy, cryotherapy, etc. are becoming popular nowadays. Aim: This prospective study to compare the results of rubber band ligation and injection sclerotherapy in grade II haemorrhoids. Methods: A Prospective cross sectional study of 60 patients attending the outpatient department of general surgery in MGMC __ampersandsignamp; RI with complaints suggestive of haemorrhoids were undertaken from September 2009 to June 2011. DRE __ampersandsignamp; Proctoscopy done for all these patients to identify the grade of haemorrhoids. All patients were randomized into group B (Rubber band ligation) and group S (Injection sclerotherapy) with 30 patients in each group. Procedure was performed and patients were observed immediately following the procedure and at 2 weeks, 1 month, 3 month, 6 months and 1 year. Results: In group B, it was uneventful when observed immediately with p __ampersandsignlt; 0.001 where as in group S, bleeding and pain were noticed with p __ampersandsignlt; 0.001 and p = 0.024 respectively. At 2 weeks follow up, pile mass was sloughed out in group B and fibrosed in group S without any significant difference. At the end of 1 year, all 30(100%) patients in group B and 26(86.7%) patients in group S were symptom free with p = 0.038.Conclusion: Thus the outcome of both Rubber band ligation and Injection sclerotherapy were the same in treating grade II haemorrhoids except for the fact that the immediate post procedure complications like bleeding and pain were significantly more in patients who had Injection sclerotherapy