Mixed hemorrhoids plus anal fissure can be treated surgically, but conservative treatment can be chosen in less serious cases. 1. Conservative treatment: For patients with less serious symptoms, they can be treated with internal and external medication, and diet control, avoiding spicy and greasy foods, and paying attention to a light diet. 2. Surgery: Surgery is a common treatment for mixed hemorrhoids with anal fissure. Generally used for conservative treatment effect is not good, or appeared more serious mixed hemorrhoids and anal fissure patients. Surgery is fast and effective, can be cured, but also more traumatic. When the patient has a mixed hemorrhoid plus anal fissure, should promptly seek medical treatment, according to the severity of the condition, under the guidance and advice of the doctor for the appropriate method of treatment.