Surgery for Circumferential Mixed Hemorrhoids is mainly based on Circumferential Mixed Hemorrhoidectomy as well as Internal Hemorrhoid Sclerotherapy. There are a number of surgical options available, mainly including traditional and minimally invasive surgery. The vast majority of patients with circumferential mixed hemorrhoids will have a localized anal swelling that prolapses, so most of the surgeries are performed using external stripping and internal ligation of mixed hemorrhoids, along with internal hemorrhoidal sclerotherapy. Alternatively, minimally invasive surgical treatments such as PPH surgery, which is a comprehensive surgical treatment of suprahemorrhoidal mucosal ring stapling or internal hemorrhoidal ligation, can also be used. Traditional surgery is mainly for localized external hemorrhoid stripping and ligation of internal hemorrhoids, while internal hemorrhoid ligation is mainly for patients with more serious mixed hemorrhoids, and PPH surgery is mainly for patients with serious circumferential mixed hemorrhoids. The specific type of surgery should be chosen by the doctor according to the patient’s specific condition. No matter which type of surgery you choose, you need to take good care of the local wound after the surgery. For example, it needs to be cleaned and sterilized every day to change the dressing, and keep the wound drainage open.