Mixed hemorrhoid surgery after more than five months the tie has not come off should be sought as soon as possible, if necessary, manual removal of stitches. Mixed hemorrhoid surgery after the presence of ties, that is, ligation sutures. Generally it is external stripping and internal ligation, which is to strip the hemorrhoidal nucleus and then ligate at the root, which can achieve the purpose of eliminating pain, stopping bleeding and so on. If the patient mixed hemorrhoid surgery more than five months after the ligation sutures are not off, it is recommended to seek medical attention to identify the cause, according to the local recovery situation and etiology, the choice of manual removal of treatment and to stop bleeding and other measures. After mixed hemorrhoid surgery, patients should improve their diet structure, should not consume excessively spicy and stimulating foods, such as common chili peppers, ginger and other foods, to eat more fresh vegetables and fruits to promote intestinal peristalsis, to prevent dry stools. Patients should also avoid straining to defecate, defecation time should not be too long, if there is obvious pain and bleeding during the postoperative recovery period, you need to consult a doctor in a timely manner, to give symptomatic and other treatments. About the mixed hemorrhoid surgery more than five months after the tie did not fall off more reasons, the specific treatment will also have differences, to the doctor’s advice shall prevail, should not blindly deal with their own, to avoid bleeding, infections and other complications brought about by the adverse consequences.