After PPH surgery for mixed hemorrhoids, patients are advised to defecate only after 24 hours to 48 hours. Defecating too early may cause edema, pain and bleeding at the anastomosis. PPH surgery is a common minimally invasive surgery for hemorrhoids, and its full name is called anastomotic hemorrhoidal mucosal ring stapling. The principle of the surgery is mainly with the help of anastomotic gun or anastomotic instruments to the rectal anal canal hemorrhoidal nucleus ring excision and stapling, so as to achieve the clinical effect of getting rid of hemorrhoids. In the early postoperative period, patients are advised not to defecate, especially within 24 hours after the operation, to avoid primary bleeding and aggravation of pain due to fecal stimulation of the anastomosis. After 24~48 hours, if the patient has frequent urge to defecate, the first time to defecate can be assisted with the help of corkscrew, to avoid defecation with excessive force or pulling and aggravate the anastomosis edema, damage, etc.. After PPH hemorrhoid surgery, actively cooperate with the doctor’s treatment, follow the doctor’s instructions. At the same time, monitor the postoperative recovery situation, if there is any doubt, communicate with the attending physician in time.