Circumferential mixed hemorrhoids need to be treated accordingly according to the specific personal situation, symptoms, not all circumferential mixed hemorrhoids need surgical treatment, no symptoms of mixed hemorrhoids do not need to be treated, symptomatic mixed hemorrhoids do not need to be treated radically, to conservative treatment, non-surgical treatment based. The indications for surgery for annular mixed hemorrhoids are conservative treatment is ineffective, the symptoms are more serious patients, for annular mixed hemorrhoids, generally its internal hemorrhoids 3-4 stage for surgical indications. The following situations need surgical treatment: 1, often bleeding in the stool, frequent episodes, the amount of blood in the stool is very large or even anemia, affecting the function of the whole body, the effect of conservative treatment is not very obvious; 2, hemorrhoids are large, the degree of prolapse is more serious, after bowel movement or walking out of the anus, can not be returned to their own hands to return to the hand after returning to come out or even can not be returned to the outside of the anus for a long period of time; 3, mixed hemorrhoids embedded in the anus outside the anus can not be returned, edema or the formation of the hemorrhoids. Can not be returned, edema or thrombus formation, accompanied by severe pain symptoms; 4, mixed hemorrhoids of the external hemorrhoid body is relatively large, often inflammation, swelling and pain; 5, annular mixed hemorrhoids thrombus formation, thrombus is large can not be absorbed by themselves, severe pain.