Surgery - Colorectal. In brief: Yes, most docs can. Most hemorrhoids should first be treated by conservative measures, such as bulking the stools, education to avoid bad habits like straining, sitting for long periods of time, etc.
Either system will have a burner. 23 years may very well be beyond the typical life expectancy of a oil burner, but a furnace or boiler should last considerably longer than 23 years. The boiler of my house here in MA is 58 years old and still works fine. I am starting to consider replacements, however.
Older furnaces that were made with heavy metal heat exchangers, like cast iron, have been known to last 30 to 40 years, but they're also known for being energy drainers. Forced air furnace heat exchangers have an average life expectancy of 15 years, with a range typically between 13 and 20 years. Most heat exchangers used in models today today will last between 15 and 25 years and are usually made from aluminized or stainless steel.