The lumps in the perianal area are mostly considered to be caused by hemorrhoids, lipomas, epidermoid cysts, etc. They can be treated by drugs and surgery. 1. hemorrhoids: hemorrhoids may be reflected in the clinical manifestations of perianal subcutaneous hard lumps, can be treated with topical drugs such as hemorrhoidal suppositories and other medications, especially serious hemorrhoids can also be considered for treatment through surgical means. 2. Lipoma: part of the lipoma may also occur in the perianal area, clinical symptoms may also appear in the perianal subcutaneous hard lumps, if the tumor does not persistently increase in size, generally can not be targeted treatment, if the tumor increases to affect the normal physiological function, you can consider surgical resection of the way to treatment. 3. Epidermoid cysts: perianal skin in frequent friction and repeated stimulation, there may be epidermal growth, the formation of cysts, clinical symptoms of perianal subcutaneous hard lumps, if there is no obvious discomfort symptoms, such as itching, pain, etc., can also not be targeted treatment. In addition, there are other reasons such as polyps may also lead to the phenomenon of perianal subcutaneous hard lumps, it is recommended that patients go to the hospital to identify the cause of the disease, and then give symptomatic treatment.