Clinically, there are more patients with hemorrhoids, the same hemorrhoids, but there are many kinds of hemorrhoids, there is no exactly the same hemorrhoids, so the treatment is not the same. For example, in the early stages of internal hemorrhoids, which only show up as blood in the stool, no pain and no swelling prolapse, oral hemostatic medication plus local ointment or anal suppositories can be used, while those with more bleeding and larger or even prolapsed hemorrhoids should be treated surgically. There are many kinds of surgical procedures, and the decision of which one to use depends on the development of the disease. The most commonly used external peeling and internal ligation cannot be used across the board, and a reasonable surgical procedure can give patients relief from pain, shorten healing time, save treatment costs, and make full and reasonable use of medical resources. For thrombosed external hemorrhoids, it is best to use simple peeling, which can relieve the pain and shorten the healing time, greatly reducing the occurrence of pain, and try to retain normal skin when peeling, not to produce skin defects and complete trauma. For common mixed hemorrhoids, external peeling and internal ligation is complementary to internal and external peeling, and anal dilation is necessary before surgery to prevent postoperative anal stenosis. For external hemorrhoid peeling, it is advisable to have a small invasion and peel off as much subcutaneous tissue as possible to prevent postoperative edema to the tooth line, and for internal hemorrhoid partial ligation, it is not advisable to ligate too much to prevent anal stenosis and excessive postoperative tension and to avoid premature loss of the ligature during postoperative stool. For large internal hemorrhoids, the ligatures can be separated in parallel or up and down; to retain normal skin between adjacent hemorrhoid nuclei is the key to prevent anal stenosis; incomplete peeling of the external hemorrhoid part as well as not retaining the skin bridge is prone to postoperative edema and obvious symptoms of postoperative pain; for oversized external hemorrhoids, the peeled wounds can be closed with 2-3 stitches distally again. For simple mixed hemorrhoids, internal hemorrhoids prolapsed and embedded, and external hemorrhoids forming thrombus, the thrombus of external hemorrhoids should be stripped clean first, the incision anastomosed, and the internal hemorrhoids partially ligated, which can make the loose skin of the external edge to lift up the wound to reduce. For those with prolapsed circumferential internal hemorrhoids, PPH treatment can be considered. In patients with simple mixed hemorrhoids, where the internal hemorrhoids are partially too long, the surgical wound can be greatly reduced by first doing a suspension at the upper end of the internal hemorrhoids and lifting the external tissues. In conclusion, the surgical methods for hemorrhoids should be flexible according to the patient’s condition, and the same therapeutic effect can be achieved by using different surgical methods. In the final analysis, it is our anorectal surgeon’s lifelong pursuit to relieve the patient’s pain, reduce the pain, shorten the healing time and reduce the complications.