1, no symptoms try not to operate Hemorrhoids are vasodilatation and local connective tissue growth, if there is no blood in the stool, prolapse and other symptoms generally do not operate. The surgery will be traumatic, and if you don’t understand the anatomy and physiology, it will also destroy the local anal cushion, affecting the closure function and leading to some degree of anal incontinence. 2, surgery focuses on solving internal hemorrhoids Hemorrhoids are divided into external, internal and mixed hemorrhoids. In terms of harm to people, internal hemorrhoids can bleed, and in some cases bleeding can be very serious, leading to anemia. Internal hemorrhoids can also affect bowel movements. External hemorrhoids are nothing more than connective tissue growths or blood clots, which can be painful when they flare up, or they can be itchy and moist, but they are not harmful to the human body. This is why the surgery for hemorrhoids should focus on the treatment of internal hemorrhoids (the internal part of mixed hemorrhoids). 3, the ligation method is the safest and most effective method for internal hemorrhoids There are many treatment methods for internal hemorrhoids, withered hemorrhoids, injection, ligation, excision and suture, hemorrhoid artery ligation, PPH, TST, microwave, laser, infrared, and so on, but the safest and most effective method at present is still ligation, which is the method used by the majority of professional anorectal physicians in China at present. In the specific ligature way, according to the size of the hemorrhoid nucleus and personal experience, and derived from some special ligature method. 4, external hemorrhoids treatment to retain enough anal canal skin Whether it is simple external hemorrhoids or circumferential external hemorrhoids, do not damage the anal canal skin too much during surgery to avoid causing postoperative anal stenosis. In the case that hemorrhoids and skin cannot be taken care of, take care of the anal canal skin. There are many techniques to preserve the skin, for example, try to use peeling and avoid direct excision, try to use ordinary scalpel and not electric knife, laser and HCPT are relatively heavier on the local damage of the anus and should also be avoided as much as possible. 5, advanced surgery to consider adjusting the anal canal pressure at the same time The occurrence of hemorrhoids is mostly caused by an imbalance in the pressure of the anal canal, the pressure is small and easy to cause varicose hemorrhoids, the pressure is large and easy to cause connective tissue hemorrhoids and anal fissures, so when doing hemorrhoid surgery should be based on the specific hemorrhoid typing to tighten or loosen the anal canal, which can not only reduce post-operative pain and avoid complications, but also improve long-term results and prevent recurrence. 6, there is no method called “minimally invasive” publicity “minimally invasive” is actually a bit misleading, there is no clinical treatment method called “minimally invasive”, even if some of the so-called “minimally invasive” methods are now advertised. Even some of the so-called “minimally invasive” methods that are being advertised are actually not minimally invasive. It is wrong to divide hemorrhoid treatment methods into “traditional” and “minimally invasive”.