Pimples around the anus may be caused by hemorrhoids, sebaceous cysts, warts and so on. 1. Hemorrhoids: Hemorrhoids are common clinical anorectal diseases, such as external hemorrhoids and mixed hemorrhoids, which may lead to swelling around the anus, similar to pimples. Hemorrhoidal suppositories, creams, and ointments containing hydrocortisone may be given, and treated by rubber band ligation, injection therapy, external hemorrhoid surgery, and surgical excision of mixed hemorrhoids when necessary. 2. Sebaceous cysts: Perianal sebaceous cysts may be caused by blockage of sweat glands and localized infections, leading to the appearance of superfluous organisms in the perianal area. You can apply fusidic acid and ichthyol ointment externally, and take roxithromycin and azithromycin orally, and then incise the abscess and drain it through surgery if necessary. 3. Condyloma acuminatum: also called genital warts, is a sexually transmitted disease, related to human papilloma virus infection. It may result in pimples and wart-like lesions on the genitals or perianal area. Topical topical imiquimod and fluorouracil are used to remove warts and modulate the inflammatory response. If necessary, remove warts by freezing, laser, or surgery. Acne near the anus is related to a variety of factors, it is recommended to go to a regular hospital dermatology department for examination, combined with the doctor’s advice standardized treatment.