Patient: The mass was found to be prolapsed in July last year, and the medication was ineffective for half a year. The doctor said that circular mixed hemorrhoids, can external peeling and internal ligation with RPH work? Is there a high recurrence rate after surgery? Is it possible without surgery? Cui Fenghui, Department of Anorectal Surgery, Zhejiang Tongde Hospital: There are many ways to treat hemorrhoids, and there can be a combination of two methods to enhance the effect, as each method has its indications and limitations. The recurrence rate is very much related to the patient’s lifestyle habits after surgery. According to your case, if the symptoms are obvious and the medication is not effective, you can consider surgery.