Not all hemorrhoids require surgical treatment, and those that do only make up 10-20% of outpatient visits, but I was surprised to find out over the past few years that in certain hemorrhoid specialty hospitals, 100% of their outpatients actually require surgical treatment! And even before the examination first let the patient check the preoperative routine and coagulation routine, in order to go to bed check at any time to operate! What kind of hemorrhoids need surgical treatment? Simply put, it is the more severe hemorrhoids that require surgical treatment. We categorize mixed hemorrhoids into 4 stages, and only 3-4 stages of mixed hemorrhoids need surgical treatment. Stage 1: Fresh blood comes out of the anus during bowel movement, but nothing comes out of the anus. Stage 2: Fresh blood comes out of the anus during defecation, and a small amount of meat comes out of the anus, and the prolapsed material can shrink back by itself after defecation. Stage 3: blood comes out of the anus during defecation, and there is a large prolapse, which can’t be retracted by itself and needs to be pushed into the anus by hand. Stage 4: prolonged prolapse outside the anus, although the hand pushed into the anus, they will come out again. The reason why do not advocate the lighter hemorrhoids to do surgery, because hemorrhoid surgery can not be “root cause” surgery, anyone hemorrhoid surgery may recur, if the very light hemorrhoids to do surgery, you may be in a lifetime to do many times hemorrhoid surgery! What about stage 1-2 hemorrhoids? Stage 1-2 hemorrhoids may bleed or swell when you have them, and you can treat them with medication.