Thrombosed external hemorrhoid patients in the acute stage often appear severe pain, need to receive surgical treatment, if the pain is not serious can choose conservative treatment. For patients with thrombosed external hemorrhoids, if they are in the acute stage, with severe pain and rapid onset, it is generally recommended to choose surgical treatment, which is effective in relieving the symptoms, and if the patient’s thrombosis lasts for more than 72 hours, and the pain is not serious, it is generally recommended to choose conservative treatment. For acute thrombosed external hemorrhoids, the main applied surgical treatments include thrombectomy, modified thrombectomy, etc. Generally, good therapeutic effect can be achieved after receiving surgical treatment. However, patients still need to pay attention to the improvement of living habits after surgery, such as maintaining a healthy body weight, avoiding prolonged sitting and standing, regular defecation, keeping bowel movement smooth, etc.; dietary adjustments, such as eating more fresh fruits and vegetables, avoiding spicy and stimulating foods. The same disease, patients with different physical conditions, different stages of the disease, treatment methods are different, it is recommended that patients should be standardized treatment under the guidance of a professional doctor to avoid delays.