PPH surgery refers to anastomotic suprahemorrhoidal mucosal cricothyrotomy, a minimally invasive surgical method mainly for prolapsed internal hemorrhoids. Due to the different physical condition or recovery of individuals, the titanium nail is discharged in about 7 to 14 days, some take about a month, and even in a few patients, the titanium nail will remain in the body permanently. Anastomotic Hemorrhoidal Circumcision is a circumferential excision of the mucosa above the hemorrhoids using an anastomosis, and after the excision, an anastomotic titanium nail is used for anastomosis. After the operation, due to the different physical condition and recovery of each person, in most cases, the titanium nail will gradually fall off in about 7~14 days and can be discharged with feces, and sometimes it may take about a month to fall off and be discharged. In a very small number of patients, the titanium nail will remain in the body permanently due to its small size. This kind of titanium nail usually does not cause adverse effects on the human body, do not need to worry too much, after the operation, we should pay attention to keep the local clean, regular medication, pay attention to the diet, if the titanium nail remains in the anastomosis, causing inflammation or discomfort, we recommend that the doctor remove it in a timely manner.