For the vast majority of patients, a single Rafaelo treatment provides permanent relief from that specific haemorrhoid. Cosmedics achieves a success rate of over 90%. However, because the procedure treats existing piles, new haemorrhoids can theoretically develop in the future if underlying causes, such as chronic constipation, straining, or a low-fibre diet, are not addressed. Therefore it is always best to heed lifestyle advice alongside the treatment for best results.