There is no such thing as preventive surgery if you have “hemorrhoids now, hemorrhoids won’t develop in the future”. If the main symptoms are not very severe, you do not need to operate. (1) The hemorrhoid has developed to such an extent that it cannot be returned to its original position outside the anus. (1) The hemorrhoid has developed to such an extent that it will not return to its original position, or it will come out of the anus when you cough or exert a little pressure. (Interfering with daily life means that it takes 30 minutes or an hour to dispose of after defecation every day. Therefore, you want to go on a trip with a friend, but cancel your plans because you cannot move together. In addition, the nucleus of the hemorrhoid comes out with the slightest strain, and you cannot do the sports you like. Such a prolapsed hemorrhoid nucleus has bound the daily life and completely reduced the quality of life, and the patient suffers from this state and wishes to undergo surgery). (2) When the bleeding is severe enough to cause anemia, and other treatments cannot stop the bleeding. In other words, the decision to do surgery or not to do surgery is based on the patient’s opinion. Of course the worse the symptoms get, the longer the patient’s pain drags on and the more difficult it is to treat, so it is better to treat early when the symptoms are severe. But hemorrhoids are a benign disease, unlike cancer that can be life-threatening if delayed for a long time. Doctors advise surgery, but do not force it. The final decision is still up to the patient.