A small fleshy lump on the anus with no painful symptoms is seen in the following two conditions: the first, simple connective tissue external hemorrhoids, which are left behind after the atrophy of thrombosed external hemorrhoids, and the patient will have a distinct feeling of foreign body around the anus and incomplete stool. The second type is the prolapse of the mucous membrane of internal hemorrhoids, which should be stage 3 or 4 internal hemorrhoids, and even in severe cases, they cannot be returned, and the patient will also have the symptoms of blood in the stool, and repeated blood in the stool will also induce the appearance of anemia. The most effective treatment in this case is surgery, choosing traditional external hemorrhoid removal and internal hemorrhoid ligation, paying attention to trimming the wounded edge to avoid post-operative anal stenosis that can affect the function of defecation, and also pay attention to avoiding damage to the perianal sphincter during the surgery. After the surgery, you should pay attention to hygiene and change the medication regularly.