There is no specific which one is better between pph surgery and external peeling and internal ligation, according to its advantages and disadvantages, it needs to be decided by the doctor through a comprehensive analysis of the needs of the condition. The pph procedure is an anastomotic hemorrhoidal mucosal cricothyrotomy, which has the advantages of less trauma, less pain, shorter operation time and quicker postoperative recovery, etc. The disadvantage is that the operator needs to be skilled in the use of instruments, and the operation requires accurate positioning. The disadvantage is that the operator is required to be skilled in the use of instruments, and the operation needs to be accurately positioned, the cost is relatively high. External peeling and internal ligation, as opposed to pph, is a traditional surgery, surgical trauma, postoperative pain is obvious, the operation takes a little longer, postoperative healing time is also longer, less suitable for ring-shaped mixed hemorrhoids, but the cost is relatively low. Hemorrhoid treatment choose pph surgery or external peeling and internal ligation, need doctors through the preoperative assessment of the condition and intraoperative situation combined, choose the one most suitable for the patient, but also have to take into account the patient’s financial capacity, can not give the patient’s family to increase the financial burden. In addition, after treatment, you also need to pay attention to diet, defecation habits and other triggering factors, as far as possible to avoid recurrence. Hemorrhoids patients with perianal discomfort in a timely manner, clear cause, follow the doctor’s instructions to actively cooperate with the treatment, to avoid delays in the condition.