Internal hemorrhoid prolapse is not necessary to do surgery, whether the need for surgery and internal hemorrhoids can be self-recovery related, generally can be self-recovery of internal hemorrhoids without surgery, can not be self-recovery of internal hemorrhoids need to do surgery, specific analysis is as follows: 1. can be self-contained internal hemorrhoids: mostly seen in the second degree of internal hemorrhoids, the main symptom is that the hemorrhoids are prolapsed during defecation, and can be self-contained after defecation. For this kind of situation can take conservative treatment, local or oral medication, such as hemorrhoid cream or suppositories, orally, Mai Zhi Ling, hemorrhoids and other drugs. 2. can not be self-recovery of internal hemorrhoids: mostly seen in Ⅲ to Ⅳ degree of internal hemorrhoids, can be manifested as internal hemorrhoids after prolapse can not be returned to the hand, or returned to the prolapse again. This situation is generally more serious, in order to avoid causing hemorrhoids prolapse embedded, necrosis, etc., mostly considered through surgical treatment. Internal hemorrhoid prolapse is not painful, it is recommended that patients go to the hospital, specifically according to the condition of the choice of treatment plan, follow the doctor’s instructions.