For mixed hemorrhoids, you can choose direct surgical excision, anastomosis hemorrhoidal mucosal circumferential resection and other surgical methods, circumferential resection has certain advantages compared to traditional surgical excision. Not all mixed hemorrhoids require surgical treatment. Surgical treatment is mainly applicable to cases where conservative treatment measures have failed and cannot be adapted to conservative treatment. As for what kind of surgery is better, it needs to be analyzed and decided according to the comprehensive factors such as the condition of the disease and the individual’s physical condition. Anastomotic hemorrhoidectomy is a new minimally invasive surgery, compared with the traditional surgical resection, its operation time is shorter, the surgical wound is tiny, the postoperative pain symptoms are more mild, the recovery time is relatively short, in short, it is the first choice of clinical treatment of mixed hemorrhoids surgery. However, the specific choice of what kind of surgery, whether the need for surgery, need to clinicians according to the condition of the comprehensive judgment, clinically in line with the patient’s own condition of the surgical method is the best surgical method.