A pile of flesh outside the anus is not painful and can be seen in the following cases: a. Hemorrhoids, especially external hemorrhoids are the most common, hemorrhoids are due to the veins adjacent to the anus because of long-term sedentary, less activity and other reasons, causing varicose veins in the mucosa of the anal canal around the anus, thus protruding outside the anus to form a pile of flesh, in the absence of inflammation or embedded cases without any symptoms. Second, perianal skin redundancy, may be due to sebaceous cysts, inflammation, infection caused by the skin keratin layer hyperplasia, hypertrophy formed by skin redundancy, in appearance can be manifested as a pile of meat, and no pain, itching, etc. Third, rectal mucosal prolapse, this situation is relatively rare, usually seen in middle-aged and elderly people, especially older women, due to multiple births resulting in weak pelvic floor muscles, perirectal muscles and ligamentous laxity, in the anus in the protrusion of the formation of painless flesh-like material.