Not all mixed hemorrhoids can be cut clean at once. Mixed hemorrhoids are caused by the appearance of internal and external hemorrhoids in the same location of the anus, mixed hemorrhoids can generally be removed cleanly at one time, a single point of mixed hemorrhoids are usually taken to the external peeling and ligation, external hemorrhoids stripped to the anus around the dentate line plus ligation of internal hemorrhoids at the base of the hemorrhoids so as to excise excess hemorrhoidal nuclei, the surgical treatment of the more thorough, postoperative complications are usually relatively small. However, ring-shaped mixed hemorrhoids may have a series of postoperative complications and should not be removed at once, ring-shaped mixed hemorrhoids can be taken to the external peeling and ligation, but may lead to localized excessive anal skin loss, resulting in narrowing of the anus after the operation. So for the ring-shaped mixed hemorrhoids, in clinical medicine will usually take PPH surgery, the hemorrhoids on the mucous membrane for excision stapling, some smaller hemorrhoids will slowly disappear, as opposed to larger hemorrhoids and then do the external peeling and internal ligation surgery, so that you can better ensure that the postoperative therapeutic effect. In addition, patients should pay more attention to personal hygiene in life, eat more light and rich in nutritious fiber food, drink more water, pay attention to sleep, avoid smoking and alcohol, as well as spicy fried food, so as to avoid recurrence of the condition, if the condition worsens patients should be timely to the hospital for relevant examinations and treatment.