At present in our country, surgery is still one of the main clinical methods for treating mixed hemorrhoids of more than 2 degrees. With the current proliferation of for-profit medical institutions and the distortion of medical advertising, patients have a certain but limited understanding of the way hemorrhoid surgery is performed. Here, a brief introduction to the way hemorrhoid surgery is performed is given in the hope that patients will compare their condition before and at the time of their visit to make sure they are well informed. The hemorrhoid surgery can be broadly divided into traditional and minimally invasive procedures. A traditional surgery 1, external peeling internal ligation, that is, Millian-Morgan surgery, is one of the most commonly used contemporary ligature excisional surgery. With the development of anorectal surgery, external stripping and internal ligation is not the traditional procedure in the previous sense, and it has been improved by segmental dentate ligation, semi-open suture, and preservation of tooth line. 2.Sclerotherapy injection: mainly used for internal hemorrhoid bleeding treatment. 2.Minimally invasive surgery 1.Doppler-guided hemorrhoid artery ligation (DG-HAL): characterized by the advantages of less damage and faster healing after surgery, it is more suitable for patients with poor physical condition and unsuitable for larger surgery, mainly used for patients with bleeding hemorrhoids. 2.Anastomotic hemorrhoidectomy (PPH): It is effective in treating prolapsed circumferential internal hemorrhoids and bleeding caused by hemorrhoids. 3.Open-loop minimally invasive hemorrhoidectomy (TST): effective for non-circular prolapsed hemorrhoids. 4.Ligation therapy (COOK gun ligation): especially the mucosal ligation on hemorrhoids that has emerged in recent years, realizing the effect of short course and less pain, and preserving space for subsequent treatment. It is worth noting: the fact that there are many surgical options for hemorrhoids does not mean that patients have a wide range of choices, nor does it mean that which type of procedure must be effective; the choice of each procedure history needs to be based on the actual condition of the patient; if the doctor informs you that traditional surgery works better, but you forcefully choose a minimally invasive procedure, you may not achieve the expected results after surgery; conversely, there are also for-profit hospitals that induce and persuade patients to choose On the other hand, there are also for-profit hospitals that induce patients to choose minimally invasive surgery with high costs, when in fact the procedure is not completely curative or has many post-operative complications.