1 hard pack at the anus is seen in the following cases: First, perianal cysts, which are subcutaneous occupying lesions, can also be perianal subcutaneous sebaceous cysts, located around the anal opening affecting defecation, or have obvious pain as well as foreign body sensation, can be selected for surgical excision, which can be done under local anesthesia, carefully separating the lesion to avoid residual, nodal suturing of the postoperative incision, regular drug changes, and prevent infection. Secondly, the limited stage of perianal abscess or anal fistula, with obvious cords or nodules, and the presence of a combined external mouth, squeezing should have a discharge, bloody or purulent, should be treated with surgery at an early stage. The procedure should be a detailed exploration of the inner opening, the fistula is cut or removed, and the change of medicine after the operation is very crucial, mainly to allow the wound to heal gradually, to avoid recurrence after the operation, should pay attention to the local hygiene.