The need for surgery for external hemorrhoids is directly related to the severity of the external hemorrhoids. If the external hemorrhoid affects the patient’s normal life, such as causing anal eczema or edema in the anal area, causing severe pain and affecting normal walking. For this condition, which mostly occurs in inflammatory external hemorrhoids or thrombosed external hemorrhoids, surgical treatment is required, and more often than not, external hemorrhoid peeling surgery is taken and post-operative medication such as Kywanghong ointment as well as potassium permanganate is chosen for change of medication treatment. If the hemorrhoid is simply a connective tissue hemorrhoid or a superfluous hemorrhoid that only causes a foreign body sensation in the anus, then as long as you pay attention to perianal hygiene and do more anal lifting exercises, you generally do not need to take surgical treatment.