The common manifestation of hemorrhoids is a meatball in the anus, which does not disappear on its own. Whether or not you need to eliminate hemorrhoid meatballs depends on the combination of other symptoms, and complete elimination requires surgical treatment. Not all hemorrhoid meatballs need surgical treatment, asymptomatic hemorrhoid meatballs do not need treatment, symptomatic hemorrhoid meatballs to conservative treatment, conservative treatment is ineffective, the symptoms are more serious patients, only then need surgery to eliminate hemorrhoid meatballs, the main methods of surgery are the following: a. thrombosed external hemorrhoid peel, for thrombosed external hemorrhoids after conservative treatment, the pain still does not relieve or lumps do not shrink. Two, traditional hemorrhoidectomy, that is, mixed hemorrhoids external peeling internal ligation, is one of the common clinical surgical methods, peeling internal hemorrhoids, suture ligation at the root of the hemorrhoid nucleus, removal of the hemorrhoid mass, for single or relatively isolated from each other mixed hemorrhoids treatment effect is good. Third, PPH surgery, i.e. anastomotic suprahemorrhoidal mucosal circumferential stapling, is mainly suitable for prolapsed type III-IV degree mixed hemorrhoids, internal hemorrhoids, and some of the II degree internal hemorrhoids with severe bleeding.