PPH is also known as “suprahemorrhoidal circumferential hemorrhoidectomy”, which is a special instrument called “PPH anastomosis” that removes the prolapsed rectal mucosa above the hemorrhoids in a circular fashion. Since the rectal mucosa above the dentate line is innervated by the visceral nerves, the patient feels very little pain after the operation; and since the operation not only removes the prolapsed rectal mucosa, but also blocks the terminal anastomotic branch of the end of the rectum, eliminating the root cause of hemorrhoids, it has very ideal treatment effects on internal hemorrhoids, mixed hemorrhoids, circular hemorrhoids, severe hemorrhoid prolapse, prolapse, etc. It has the characteristics of quick effect, quick recovery and less pain after surgery. Indications for PPH surgery: It has very ideal treatment effect on internal hemorrhoids of degree II or above (not all hemorrhoids are suitable), mixed hemorrhoids, circumferential hemorrhoids, severe hemorrhoid prolapse, prolapse, etc. The cost of PPH surgery is around 9,000 yuan, about half of which is spent on the PPH anastomosis (4,000-5,000 yuan), and the cost of the surgery is 1,500 yuan (excluding anesthesia) at a tertiary care hospital in Guangdong. Complications of PPH surgery: Postoperative bleeding: bleeding in the stool, which is related to the quality of the anastomosis. Most patients can heal spontaneously in 2-3 days Residual anastomotic nail, infection, ulceration: mainly manifested as frequent stools and urgency (the feeling of unclean bowel movements). Rectovaginal fistulas and pelvic infections are rare and require hospitalization.