Hemorrhoids occur due to inflammation of the rectoanal venous plexus, which causes inflammation, pain, and can cause lumps. This inflammation can cause difficulty in defecation and can even cause heavy bleeding. Empirically Tapak Liman (Elephantopus scaber) leaves have been used to treat hemorrhoids and have been known to contain flavonoids and terpenoid lactones which are active as an anti-inflammatory. Objective: To determine the anti hemorrhoidal activity of E. scaber leaves in reducing inflammation in hemorrhoids in Wistar rats. Material and method: The research begins with the extraction of E. scaber leaves with 70% ethanol as solvent. Extracts were analyzed for total flavonoid content with quercetin standard. Antihemorrhoidal activity was measured based on the degree of edema formed based on the weight of the rectum through the surgical process. Rats were induced with croton oil on the anorectal area for three days. The treatments for the test group were 50, 100, and 200 mg/kgW. The drug control group used oral diclofenac sodium for seven days. Result: E. scaber leaf ethanol extract contains alkaloids, flavonoids, saponins, and polyphenols. The flavonoid level was 3.433mgQE/g extract. This study showed that E. scaber leaf extract had the best anti hemorrhoidal activity at a dose of 100 mg/kgW with a significance value of p<0.05. Conclusion: The ethanol extract of E.scaber leaves containing flavonoids provides a fairly good anti-hemorrhoid activity compared to the control drug diclofenac sodium.