When it comes to hemorrhoids, most people are “I don’t want to do surgery, it’s too painful” “Doctor, I’ll put some medicine on it first and then talk about it”. “It’s the most painful thing in the world. In fact, this idea is not desirable. The first thing you need to do is to ask the patient where he is not feeling well, while taking the medical record book ready to record. The patient said hemorrhoids, so I first showed the patient and suggested surgery, and when I was looking through the chart book, I saw the original record. The old man smiled and said “Dr. Hong, you have shown me, I came to you specifically, three years ago you let me do the surgery, I just do not do, now is unbearable, I can not carry, my partner also forced me to come, now every day out, too affect the quality of victory.” Hemorrhoid surgery principles: treatment of symptomatic hemorrhoids. So, surgery recommended by a specialist is usually needed sooner or later, it’s just a matter of time. Although most surgery for hemorrhoids is elective, that is, you can choose the time, arrange everything and then pick an auspicious day for the surgery. But that doesn’t mean that you can avoid surgery. Conservative treatment is mainly to improve the patient’s symptoms, without any preventive and health effects, many patients because on the Internet, or hearsay “pain is unbearable”, and use the “drag, can drag a day as a day” approach, this mentality is understandable, but not wise. This mentality is understandable, but it is not wise and may delay the treatment of the disease at home. Just like the old man, from my records, the patient’s condition was significantly aggravated this time, which brought more trouble to the operation (of course, the operation went very well, and the old man recovered easily after the operation, which was not as terrible as he thought). Therefore, “early detection, early diagnosis, and early treatment” should be the key. If you recommend surgery, you should do it early, as it is not only less painful and quicker to recover, but also better protects the function of the anus and has less impact on work and life, rather than waiting until the aggravation affects normal work and life, and the post-operative recovery is also slower. Of course, regarding the pain of surgery, there must be a difference in surgical techniques, of course, there are various “painless technology” management and application, but also ask the majority of patients to relax, “the world’s first pain” hat has become history.