Having hemorrhoids in late pregnancy is a relatively common occurrence. It does not have any effect on the mode of delivery and it is possible to have a normal delivery with hemorrhoids in late pregnancy. However, a normal delivery requires the necessary assessment based on the specific condition of the fetus and the pregnant woman. In late pregnancy, the pressure of the enlarged fetus and uterus on a woman’s pelvic floor tissues leads to stagnation of the perianal veins, which causes perianal varicose veins and the formation or aggravation of hemorrhoids. Therefore, it is a relatively common phenomenon. The location of hemorrhoids in the anus is not anatomically relevant if a woman chooses to have a normal delivery, often referred to as a transvaginal delivery. The birth canal of the fetus is from the uterus, through the vagina, and is not anatomically related to the anus. Therefore, the presence or absence of hemorrhoids in late pregnancy does not affect the mode of delivery of the fetus. The influence on the mode of delivery of the fetus mainly depends on the condition of the fetus and the pregnant woman, for example, the fetus in the process of descending there will be some difficult fetal position, it is expected that the difficulty of normal delivery, it is necessary to carry out a cesarean section. There are also some pregnant women who have abnormalities such as narrowing of the bony birth canal, and the fetus will not be able to undergo a normal labor due to unforeseen difficulties and insecurity. Other cases, such as placenta previa or uncorrectable contraction weakness during labor or pregnancy, will pose a great danger to the fetus and the pregnant woman, and need to be avoided. Whether or not a pregnant woman has hemorrhoids or the severity of the hemorrhoids does not affect the mode of delivery of the fetus. Factors affecting the mode of delivery of the fetus depend on the specific condition of the fetus or the pregnant woman, and require the critical judgment of the obstetrician.