In the anorectal clinic, about 1/3 of all types of anorectal disorders are diagnosed as hemorrhoids, and patients often ask what the best treatment for hemorrhoids is. Will it leave any sequelae? Is it possible to do without treatment? Can’t we do a “minimally invasive” procedure? Before answering these questions, we first need to understand what hemorrhoids are. There are two views: one view is that hemorrhoids are bulging venous masses formed by the tortuous and dilated terminal veins of the lower rectum or anal canal. This view was once widely accepted and is a more traditional understanding. Another view is that in normal people, there is a special tissue structure called “anal cushion” under the mucous membrane at the end of the anal canal and rectum, which is formed in the fetus and its function is to assist in the normal closure of the anus and to control defecation, just like the role of a faucet washer. This view has been shared by more scholars in recent years. After hemorrhoids are formed, not everyone will have symptoms, and those that do are called hemorrhoids. The common term hemorrhoids actually refers to hemorrhoid disease. Hemorrhoids can be divided into internal, external and mixed hemorrhoids depending on where they occur. The complications of hemorrhoid treatment are mainly bleeding, infection, and anal canal stenosis. In fact, in addition to medication, many patients are more or less worried about all these invasive treatments —– These methods include injection therapy (sclerotherapy), wither hemorrhoid therapy, collar ligation therapy, laser microwave therapy, and various instruments of “minimally invasive therapy “The actual hemorrhoids are not only a lot of the most popular, but also a lot of the most popular. But for experienced specialists, all these methods as a supplement to the anorectal treatment system, there is not much of a problem, we have conducted statistics on nearly 100,000 cases of various types of surgery in our hospital over the past 50 years, the long-term cure rate of more than 98%. The long-term cure rate, complication control and painless treatment techniques have been among the top in the province, but of course, these results are achieved mainly by clinically proven traditional methods (for hemorrhoids, mainly ligation therapy and its various derivative procedures). From the earlier laser treatment, microwave treatment, injection treatment to the current HCPT ablation treatment, all of which are labeled as “minimally invasive treatment”, this may be a process of constant elimination and improvement. However, the concept of minimally invasive is unbelievable for each single disease in the anorectal department, and for doctors who have long been engaged in specialized treatment, choosing the appropriate means and careful operation can achieve the patient’s expected treatment purpose and avoid various complications. But there are many traditional treatments for hemorrhoids, and surgical treatment alone (mainly ligation therapy for hemorrhoids) is derived from more than a dozen different procedures, so if someone tells you that a certain method will solve all your worries, it is not scientific. As a professional medical center in the Nantong area, the anorectal department has been perfect equipped with specialist diagnostic and treatment equipment for 50 years, and the HCPT ablation therapy instrument was also configured in the clinic in 01. The knowledge that should be popularized is that HCPT is high-frequency capacitive field, which is just a method of removing hemorrhoids by thermal cautery, not an original and irreplaceable brand-new therapy. The essence of “HCPT minimally invasive ablation” as an invasive treatment is still a surgical treatment – removing hemorrhoids with the help of an instrument, the healing time after the ablation, the patient’s feeling is not any statistical difference, so unless the patient’s hemorrhoids themselves are particularly small it is impossible to talk about “minimally invasive” and “painless”, the specialist The most common ones are epithelial defects of the anal canal, anal or rectal stenosis, long-term infection of the wound that does not heal, and other cases such as high-grade abscesses and complex anal fistulas that do not heal repeatedly are more common. It should be said that the common anal disease is not a big disease, appropriate treatment can achieve satisfactory results, but a variety of treatment methods may be overwhelming, so what is the best way to treat? It’s simple, the most appropriate method for the individual is the best choice. Generally speaking, hemorrhoids can be left untreated if they are asymptomatic, and most general treatments can be effective if they are 1 – 2 degrees. General treatment includes avoiding irritating foods, drinking more water, eating more dietary fiber, keeping the bowels open, and using topical suppositories and ointments to protect the mucosa. Microwave therapy, laser, radiofrequency therapy, collar ligation, and HCPT (high frequency capacitive field) therapy can also be applied to 1 – 2 degree internal hemorrhoids as appropriate, but care should be taken to prevent complications. For 3rd – 4th degree internal hemorrhoids, mixed hemorrhoids and thrombosed external hemorrhoids, most of them require surgery. External peeling and internal ligature therapy and its derivatives are still the most valuable methods recognized for hemorrhoid treatment at home and abroad, and these methods have become increasingly mature, and depending on the patient’s condition, the surgery can completely achieve the concept of “minimally invasive” and more delicate purpose. In conclusion, the purpose of hemorrhoid treatment is to relieve the symptoms, not to eradicate the hemorrhoid itself, so the problem should be analyzed on a case-by-case basis, and there is no need to “treat the hemorrhoid on sight”. The patient’s unnecessary or incorrect treatment will not only waste the patient’s money, but also cause unnecessary harm to the patient, and some even have sequelae. For PPH surgery, the rationale is based on a new understanding of the pathogenesis of hemorrhoids —- that the anal cushion has moved down. PPH surgery is a circular excision of the prolapsed rectal mucosa above the hemorrhoid using an instrument called the PPH anastomosis, which can be effective in selective cases of prolapsed internal hemorrhoids. Again, because there are limited indications, PPH is only a supplement and is far from overturning traditional hemorrhoid surgery.