Mixed hemorrhoids account for 85.5% of anorectal diseases, and the incidence rate accounts for 75%, and is the most serious of all hemorrhoids, occurring in any population, with 70% of female mixed hemorrhoids and 30% of male mixed hemorrhoids. The number of people who suffer from mixed hemorrhoids is rising by tens of times because of the lack of attention in their lives. The actual procedure: There are many surgical procedures for mixed hemorrhoids, and with the development of technology, minimally invasive surgery is constantly being created and improved in the clinic. This is a brief introduction to the current surgical methods. The actual procedure is a good way to get the most out of the situation. 1, traditional surgery: divided into external peeling internal ligation, external peeling internal ligation segmental ligation, simple ligation. 2, minimally invasive surgery: ligation; PPH, TST surgery PPH surgery; Doppler-guided hemorrhoid artery ligation. Disease diagnosis 1.The nature of external hemorrhoids can be divided into: (1) inflammatory mixed hemorrhoids; (2) thrombotic mixed hemorrhoids; (3) connective tissue mixed hemorrhoids; (4) varicose mixed hemorrhoids. The latter two are the most common in clinical practice. 2.The number of mixed hemorrhoids can be divided into: (1) simple mixed hemorrhoids; (2) multiple mixed hemorrhoids; (3) annular mixed hemorrhoids; (4) complex mixed hemorrhoids. The examination method of mixed hemorrhoids 1.Anal finger diagnosis. 2.Endoscopic examination.