In China, the incidence of habitual constipation is increasing year by year among the elderly over 60 years of age, and laxative and detoxifying drugs and health products have become good products for the elderly, and rectal and anal canal diseases caused by constipation are also valued by patients, but few people associate habitual constipation with pelvic hernia, and not only patients, but also many clinicians know little about pelvic floor hernia. Pelvic floor hernia, also known as pelvic hernia, is an intra- and extra-abdominal hernia of the hernia sac below the pelvic rim of the pelvis, and can be divided into: sciatic foramen hernia, foraminal hernia, perineal hernia, and pelvic floor peritoneal hernia from the anatomical site and hernia contents. In recent years, the incidence of pelvic floor hernias in China has been on the rise year by year. Thirdly, with the development of the society, the aging of the population has gradually become prominent, and now it has become one of the main health care and social problems in developed countries. The aging of our population is even more prominent. It is estimated that by 2025, the elderly population in China will account for about 20% of the national population, and pelvic floor hernia as a degenerative pathology and the resulting pelvic organ prolapse and displacement caused by conditions such as constipation and urinary incontinence in elderly women are also attracting more and more attention in the field of surgery. The causes of pelvic floor hernias are multifaceted and, in summary, there are two major causes: first, the increase in intra-abdominal or pelvic pressure caused by congenital or acquired factors, mainly due to obesity, habitual constipation in the elderly, cough caused by long-term smoking or pulmonary disorders, difficulty in urination caused by prostatic hyperplasia in elderly men, and pregnancy in women; second, damage to the fascial tissue of the pelvic floor caused by surgical or non-surgical factors, mostly in women during childbirth, colorectal surgery, gynecological surgery, etc. The second is pelvic floor fascial tissue damage caused by surgery or non-surgical factors, mostly seen in female childbirth, colorectal surgery, and gynecological surgery. In fact, intra-abdominal pressure is tens of times higher in humans than in reptiles due to upright walking, which inevitably leads to a much higher incidence of extra-abdominal hernia than in reptiles, and the pelvic floor, which is located at the lowest point of the abdominal cavity, also carries the highest intra-abdominal pressure, which makes it obvious that the incidence of pelvic floor hernia increases. Because of the deep location of the hernia ring, the atypical initial symptoms and the lack of specific auxiliary examinations, pelvic floor hernia is difficult to diagnose and has a high rate of missed diagnosis and misdiagnosis. Patients with a history of pelvic or abdominal surgery and chronic diseases should pay attention to the changes of their diseases and whether there is any recent aggravation. 2. The location of the mass varies depending on the type of pelvic floor hernia, with the sciatic foramen hernia mass mostly located in the buttock, perineal hernia mass in the labia majora or perineum, pelvic floor peritoneal hernia mass in the deeper posterior vaginal wall, anterior rectal wall or Douglas depression, and closed hole hernia in the root of the thigh. （In line with other abdominal hernias, pelvic floor hernias with intussusception can also present with symptoms of intestinal obstruction, such as abdominal pain, vomiting, and cessation of defecation, and may be life-threatening when intestinal strangulation occurs. The treatment of early pelvic floor hernia is mainly conservative, and patients should promptly treat the primary chronic diseases that increase abdominal pressure. Patients with constipation should also undergo dietary therapy: quit smoking, eat more dietary fiber, drink more water, develop good habits of regular defecation, and perform anal lifting exercises. However, irritating laxatives containing anthraquinones should be chosen carefully and avoided for a long time, otherwise they will damage the intestinal nervous system and lead to colonic weakness, and may induce “colonic melanosis”. For recalcitrant patients with little success in non-surgical treatment, surgical treatment should be considered. Depending on the patient’s condition, conventional open surgery or minimally invasive laparoscopic surgery can be chosen. It is worth mentioning that laparoscopic surgery is less traumatic, faster recovery, good intraoperative field of view and can observe a variety of abdominal and pelvic lesions, which is recommended to be preferred in this disease, but the technical difficulty of laparoscopic surgery is high, so patients are advised to choose a qualified medical institution to perform the surgery.