The wounds of mixed hemorrhoids are at the base of the internal hemorrhoids and at the anal opening. Mixed hemorrhoid external peeling and internal ligation is to lift the mixed hemorrhoids with tissue forceps near the dentate line, take a reverse “V” shaped incision, incise the skin from the top of the external hemorrhoids to the lateral margins of the external hemorrhoids, peel off the external hemorrhoidal tissue, including external hemorrhoidal vascular collaterals and fibrous proliferation of tissues, and retain part of the external hemorrhoidal skin, that is, the triangular skin flap, the incision will not be stitched up. The external hemorrhoid part completely stripped to the dentate line about 0.3cm, and finally at the base of the internal hemorrhoids double ligation, excision of part of the hemorrhoid nucleus, so mixed hemorrhoid external peeling and internal ligation wounds in the base of the internal hemorrhoids and the anal opening at the pike shaped incision. Mixed hemorrhoids external stripping and internal ligation can effectively eliminate the patient’s pain, bleeding symptoms, but there is still the possibility of recurrence after surgery, the patient should pay attention to the diet after surgery, eat more fresh fruits and vegetables, appropriate exercise, avoid sitting for a long time, there is any discomfort, immediately go to the hospital, and ask the doctor to carry out the appropriate treatment if necessary.