External peeling and internal ligation is a common surgical procedure used in anorectology to treat mixed hemorrhoids, peeling off the external hemorrhoids while ligating the internal hemorrhoids, which can cause the lesions to necrose and fall off. External stripping and internal ligation is mainly for the treatment of mixed hemorrhoids, which is done as follows: Lift the external hemorrhoidal part of the mixed hemorrhoids near the dentate line to make a V-shaped incision, incise the skin from the top of the external hemorrhoids to the lateral margin of the external hemorrhoids, so as to completely peel the hemorrhoidal nucleus to the dentate line position, including the external hemorrhoidal vascular collaterals and fibrous proliferative tissues, retaining part of the external hemorrhoidal skin that is the triangular flap, double ligation in the internal hemorrhoidal base, and then joint injection of sclerosing agent, to promote the internal hemorrhoids to be dislodged. However, circumferential mixed hemorrhoids may have postoperative hemorrhoidal nuclei remaining, or even anal stenosis, so be sure to go to a regular hospital, under the operation of an experienced doctor for external peeling and internal ligation treatment. After the operation, in order to avoid bleeding and infection of the wound, you should also eat a light diet, soften the stool, pay attention to wound cleaning, and follow the doctor’s instructions to change the medicine regularly.