Hemorrhoid prolapse does not necessarily require surgery. Hemorrhoids are varicose veins that can easily cause the anal cushion to shift downward when abdominal pressure or constipation increases, and the nucleus of the hemorrhoid swells and prolapses outside the anus to form hemorrhoids. If the hemorrhoid prolapse can be returned on its own or by hand, no surgical treatment is needed, you can perform conservative and medication treatment, avoid spicy and stimulating food; warm salt water or 1:5000 potassium permanganate solution sitz bath to reduce the swelling of the hemorrhoid nucleus; you can intra-anal plugs of tylenol to reduce swelling, anti-inflammatory, hemostatic effect. If the hemorrhoid prolapse is more serious, the disease is more repeated, the formation of thrombus, embedded for a long time, can not be returned, the formation of necrosis, you need to perform emergency surgery, such as thrombus stripping, mixed hemorrhoids external peeling internal ligation. So hemorrhoid prolapse, depending on the severity of its symptoms, to decide whether surgery is needed.