There are many patients who come to the hospital and ask for laser treatment for hemorrhoids. There is a common mentality among patients that laser is a high-tech technology and must be the best and most advanced way to treat hemorrhoids, but it is not. I have been a hemorrhoid doctor and practitioner for thirty years, and I have never heard of laser treatment for hemorrhoids, at least not in the medical textbooks. The laser has a very strong technological overtone and the patient can’t easily identify these methods. When you go to these small institutions for treatment, they must give you some methods that you can’t identify and then tell you that they are using the highest technological methods to treat you, which you can’t identify and make you fooled. So there is no such thing as laser treatment for hemorrhoids. The treatment of hemorrhoids is a judgment call made by the doctor based on the patient’s condition and then the choice is actually individualized and different methods are used for different conditions. There are a variety of methods to treat hemorrhoids, such as the injection method using sclerosing agents, the rubber ring ligation using a rubber ring, which includes a lancing gun ligation method for RPH, the paper end-of-year loop excision (PPH surgery) using an anastomosis, and the most traditional method of external dial internal ligation of hemorrhoids. The sclerosing injection method, a simple method, has limited therapeutic effect, is still not ideal for many cases, and has the complication of anal necrosis due to poor control of the injection dose, so it is generally chosen for use only in elderly type patients who cannot tolerate surgical treatment or those who simply have bleeding internal hemorrhoids. RPH is actually the traditional rubber band ligation, using a method that is capable of continuous excitation. Its effective for the treatment of a single internal bleeding hemorrhoid, but for those with ring prolapse, the ligature is limited because the ligature does not completely address patients with prolapsed hemorrhoids, which basically occur with mixed hemorrhoids. So external hemorrhoids and mixed hemorrhoids are not a good choice, another reason is the reason is that the ligature ring cannot ligate the external hemorrhoids and the patient will have severe pain. PPH This is now a major method of treating hemorrhoids and is the first choice for the treatment of ring prolapse, mixed hemorrhoids, etc. The overall effect of this procedure is more satisfactory because it completely solves the occurrence of prolapsed hemorrhoids from an anatomical point of view, and the procedure has several advantages one being quick recovery from surgery, light postoperative pain, no damage to anal function, etc. However, because there are some serious complications, such as postoperative hemorrhage, anastomotic stricture, rectal perforation, etc., it is opposed by some domestic and foreign doctors despite the low incidence. Also there is a certain recurrence rate, so this surgery can only be performed in some large hospitals or specialist hospitals, and it is to be done by experienced doctors to complete the operation, and about 30,000 cases of PPH surgical treatment are completed in China every year. At present, the most ideal surgery is still external peeling and internal ligation of hemorrhoids, and all the results of the surgery are compared with this traditional surgery. However, it is not accepted by patients because of postoperative pain and also complications such as anal stricture and disruption of anal function. Experienced anorectal surgeons usually have a variety of ways to solve the problem, such as supplementing other treatments after PPH surgery, such as adding sclerotherapy, or performing ligation of the superior hemorrhoidal artery and trimming the external hemorrhoids. This is effective and relatively less painful. All in all the treatment of hemorrhoids will be done according to each different individual situation to make the appropriate surgical choice under the condition that the surgical treatment does not destroy the function of the anus. It is not up to the patient to decide and choose the surgical method, let alone believe in non-scientific treatments.