Is surgery ever necessary?

I have had an external hemerroid for several years now. It resembles a skin tag, I suppose, and is about an inch long. It doesn't hurt unless it is enflamed which is rare (most recently with Master Cleanse) I have never had a colonic or done an enema for this reason. Any advice on how to proceed with it? I mentioned it to my OBGYN but she was uninterested. I'd apprciate any feedback. Tweet