Background: Hemorrhoids, or piles, are common anorectal conditions characterized by swollen veins in the rectum and anus, leading to symptoms like pain, itching, and bleeding. Despite their prevalence, awareness and understanding of hemorrhoids are limited, especially in rural areas. This study aims to assess the knowledge of hemorrhoids among the general public in District Bilaspur, Himachal Pradesh, to guide educational interventions. Material & Methods: A descriptive, cross-sectional survey was conducted from January to May 2024 in District Bilaspur. The study included 400 adults aged 18 and above, who had lived in Bilaspur for at least 12 months. Data were collected via a pre-tested Google form questionnaire covering socio-demographic variables and knowledge about hemorrhoids. Analysis was performed using Epi Info V7 software. Results: The socio-demographic profile revealed a diverse and balanced sample. The age distribution showed 31.5% were aged 18-30 years, 23.8% were aged 31-40 years, 21.0% were aged 41-50 years, and 23.8% were over 50 years old. Gender distribution was nearly equal, with 49.5% male and 50.5% female participants. Knowledge regarding symptoms was relatively high, with 78.5% having heard of hemorrhoids and 71.8% aware that hemorrhoids can cause pain. Awareness of causes and risk factors varied, with 62.0% knowing that chronic constipation can cause hemorrhoids. Knowledge of prevention and treatment measures was moderate, with significant gaps identified. Conclusion: The findings reveal gaps in the comprehensive knowledge of hemorrhoids among the public in Bilaspur. While basic awareness is adequate, there is a need for targeted educational programs to improve understanding of symptoms, causes, prevention, and treatment. Effective public health campaigns are essential to enhance health literacy and outcomes.