Hemorrhoids, the first thing that comes to mind is surgery, and the second thing that comes to mind is pain! 1, what circumstances we need to do surgery? (1) thrombosed external hemorrhoids acute stage, the pain is particularly serious; or thrombosed external hemorrhoids repeated, frequent attacks, affecting the life; (2) hemorrhoids blood serious, conservative treatment is ineffective, and even anemia symptoms; (3) hemorrhoidal prolapse need to be pushed to change or change difficult, that is, hemorrhoids III or IV, this time, the conservative treatment and medication can only improve the symptom, can not make prolapsed hemorrhoids disappeared, if you feel that the life, cleanliness, hygiene and other inconveniences, affecting the daily life, need to consider surgery; (4) prolapsed hemorrhoids embedded, swollen, the second thought is pain If you feel life, cleanliness and hygiene inconvenience, affecting daily life, need to consider surgery; (4) hemorrhoid prolapse embedded, swelling, pain, can not be changed, or even necrosis, need to surgery; (5) perianal larger skin flap with or without eczema symptoms, but caused by the difficulty of cleanliness and hygiene, in order to improve the quality of life, you can consider surgery. 2, really have three minutes, painless, with the treatment, completely cured, never recurring surgery? Advertising, there may be, but I can responsibly tell you that three minutes, the anesthesia has not been fully effective, right; and we are so worried about the anus, really three minutes to do the end of the operation you feel comfortable? (1) In order to ensure a painless operation, sacral anesthesia, epidural anesthesia or general anesthesia is usually used. After the operation, there is a need for anesthesia recovery process, it is not possible to go with the treatment. Local anesthesia can be used on an on-going basis, but it is difficult to make the operation completely painless. For their own safety, after the operation or to observe the bleeding and other complications in the doctor’s permission to leave the hospital. (2) hemorrhoids for normal physiological structure, surgery is mainly to solve the bleeding, prolapse, skin superfluous and other problems. That is to say, in order to avoid anal stenosis and maintain the normal function of the anus, generally retain part of the skin bridge or anal canal tissue, that is, can not be completely cured. (3) If the hemorrhoid surgery, never recur, it means that the doctor did a good job of health education, the patient’s postoperative compliance is good, in strict accordance with the conservative treatment we talk about the life of the diet and defecation habits. If you continue to have dry stools, squatting in the toilet for half an hour, it is unlikely that it will not recur! So the conservative treatment of hemorrhoids to run through our daily life. 3, a variety of minimally invasive, various names of surgery, how do I choose? So many hemorrhoids surgical treatment, which means that there is not a surgical procedure that can be perfectly applied to all hemorrhoidal diseases, and there is not a surgery that is absolutely minimally invasive. Generally, surgery can be divided into two major categories: (1) is to lift the hemorrhoidal tissue, so that it returns to its normal anatomical position, including adhesive band ligation, hemorrhoidal injection (a variety of sclerosing agent), hemorrhoidal artery ligation, PPH, TST, etc., this type of surgery is not completely non-invasive, can play a role in lifting the hemorrhoidal tissue, to achieve the effect of treating the blood and prolapse of the hemorrhoidal stools. (2) is the removal of hemorrhoidal tissue surgery, that is, the traditional external stripping and internal ligation, including a variety of electrosurgical equipment to directly remove bleeding, prolapsed hemorrhoidal tissue, the surgical efficacy of the exact, low recurrence rate, but the relative damage, pain, heavy. 4. Specifically I apply to which surgical method according to what decision? (1) the specific choice of which surgery, in addition to the condition, the degree of prolapsed hemorrhoids, but also with the anatomical structure of the anal canal, whether there is inflammation, previous surgical history, the doctor’s proficiency in a certain surgical methods and preferences and so on. (2) Currently, treatment is individualized, and it is difficult to have a standard procedure to treat all types of hemorrhoids, such as PPH followed by excision of external hemorrhoids and other combinations of surgical methods. 5. Is surgery really painful? In the past, the era of walking against the wall after surgery has basically passed, and now we can achieve painless surgery, and after surgery, there are various analgesic drugs and analgesic modes of intervention, and multi-modal analgesia has greatly reduced the postoperative pain problem. Remember, the doctors and nurses are with you when you are in pain. 6. Is it all over after surgery? No, never. We have to take care of our anus and continue to develop good eating and defecation habits to prevent recurrence. Surgery mainly solves the problems of blood in stool and prolapse, anal itching, overflow, discomfort and constipation still need to continue treatment.