Whether or not a mixed hemorrhoid thrombosis requires surgery should be analyzed on a case-by-case basis, with thrombosis in internal hemorrhoids, thrombosis in external hemorrhoids, or perhaps thrombosis in both internal and external hemorrhoids. If the internal hemorrhoid has a thrombus, it is generally referred to as an internal hemorrhoid that cannot be retracted after it has prolapsed and then becomes infected or inflamed, forming a thrombus or necrosis, which is called internal hemorrhoid impaction. External hemorrhoids with thrombosis are called thrombosed external hemorrhoids, and there are four types of external hemorrhoids. The most common external hemorrhoid is the varicose external hemorrhoid, in fact, the mixed hemorrhoid refers to the internal hemorrhoid and varicose external hemorrhoid together, but the varicose blood vessels can also rupture, the rupture will form a thrombus, called thrombosed external hemorrhoid, so the mixed hemorrhoid can also appear thrombosed external hemorrhoid, at this time, whether surgery is necessary, also depends on the specific situation, you can conservative treatment, drug treatment, including oral, topical drugs, etc., but also can do surgery The hemorrhoids can also be operated. If you’re looking for a new way to get the most out of your hemorrhoids, you’ll be able to get the most out of your hemorrhoids. Therefore, the decision to operate depends on other circumstances, such as age, gender, severity, other co-morbidities, and the patient’s wishes. Some patients are reluctant to operate, thinking that surgery will lead to recurrence and that surgery will be painful, so they do not operate. It depends on the specific situation, but surgery is not necessary.