Internal hemorrhoid ligation and excision are both methods of removing hemorrhoids, but the difference between the two is that the surgery is different, the healing time is different and the applicable patients are different. 1. Surgery is different: internal hemorrhoid ligation is a special adhesive ring ligated to the root of the internal hemorrhoids, the use of the elasticity of the ring to block the hemorrhoidal blood flow, so that the hemorrhoids gradually ischemia, necrosis, shedding and healing. Internal hemorrhoidectomy is the most effective way to treat severe hemorrhoids by directly removing the hemorrhoids with scalpel, electro-knife, ultrasonic knife, and scissors to achieve the purpose of treatment. 2. The healing time is different: 7-14 days after the internal hemorrhoid ligation surgery, the hemorrhoid core may be necrotic and fall off. If hemorrhoidectomy with ultrasonic scalpel to remove internal hemorrhoids, the trauma does not need suturing because the doctor will stop the bleeding while removing. 3. Applicable patients are different: internal hemorrhoid ligation is mainly used for the treatment of Ⅰ, Ⅱ, Ⅲ degree internal hemorrhoid patients. And hemorrhoidectomy is mainly used for patients with Ⅱ, Ⅲ degree internal hemorrhoids and mixed hemorrhoids. Patients with hemorrhoids should go to regular hospitals in time for examination, and the choice of the specific surgical method should be decided after evaluation by a professional doctor, taking into account the type of hemorrhoids as well as the severity of hemorrhoids of the patient.