External stripping and internal ligation of hemorrhoids is a traditional surgical procedure for the treatment of mixed hemorrhoids and is suitable for basically all types of mixed hemorrhoids. The exact procedure of external stripping and internal ligation for the treatment of mixed hemorrhoids is as follows: With the patient under anesthesia, the surgeon lifts the external hemorrhoid portion of the mixed hemorrhoids with tissue forceps near the dentate line of the anal canal, makes a reverse miniature incision, cuts the skin from the top of the external hemorrhoids to the external margin of the external hemorrhoids, peels off the external hemorrhoidal tissue including the external hemorrhoidal vascular plexus and fibro-proliferative tissues, and preserves part of the external hemorrhoidal skin and the triangular flap of skin. The external hemorrhoid was partially and completely stripped to about 0.3 cm above the dentate line, and then a double ligation at the base of the internal hemorrhoid was performed to excise a portion of the hemorrhoidal core. Finally, the partial incision of the external hemorrhoids is trimmed to allow drainage. Although external stripping and internal ligation is a traditional surgery, the surgical injury is not too big, and it has been used until now and is widely used. Compared with the minimally invasive treatment nowadays, the recovery time of the surgery is longer. It is recommended that patients choose the appropriate treatment plan under the guidance of professional doctors according to the specific changes in the condition and follow the doctor’s instructions.