With the rapid development of medical science and technology, the concept of anorectal doctors and patients for the treatment of anorectal diseases should also be updated. 1, break the concept that the treatment of anorectal disease will definitely be painful, so that patients away from the “world’s first pain”. When it comes to anorectal surgery, people will naturally associate unbearable severe pain with surgery, so there is anorectal surgery “the world’s first pain”, which is the main reason why many anorectal patients who should receive timely surgical treatment are deterred by “pain”. This is the main reason why many anorectal patients who should receive timely surgical treatment are deterred by the pain. The consequence of not receiving timely treatment due to fear of pain has caused many patients to delay the early stage of easily treatable diseases into late stage of incurable diseases, which not only increases the pain of patients but also affects the research and development of the anorectal discipline. Painless anorectal technology can make anorectal surgery painless or basically painless, and the “painless anorectal therapy” researched by us can make patients’ postoperative incision painless, change medicine painless, defecate painless, move freely and take care of themselves, so that anorectal surgery patients can complete the whole process of treatment and rehabilitation in a painless or basically painless state. Li Hengshang, Department of Anorectal Medicine, West Hospital, Beijing Chaoyang Hospital, Capital Medical University 2. Introducing the concept of minimally invasive and plastic surgery to treat anorectal diseases, patients benefit and doctors are satisfied. Anal canal and rectal diseases due to their hidden parts make many anorectal surgeons think that the good or bad shape of the anal canal and rectum after surgery is not important. In fact, it is very worthwhile to update the old concept that form and function are unified, and good form can guarantee good function of the anorectum. The introduction of minimally invasive, plastic surgery methods for the treatment of anorectal diseases can not only make it possible to cure difficult diseases such as ring-shaped mixed hemorrhoids that could not be cured at once in the past, but also make the postoperative form and function of the anal canal intact. It can effectively reduce and prevent the occurrence of postoperative complications and sequelae, so that the patient benefits from the doctor’s satisfaction. 3, abandon the concept of constipation only by internal medicine treatment, constipation can also be cured by surgery. With the change of diet structure and the influence of psychological and social factors, the incidence of constipation is gradually increasing, China’s Beijing, Tianjin and Xi’an region, the rate of chronic constipation in the elderly over 60 years of age up to 15-20%. The prevalence of chronic constipation among adults aged 18-70 in Beijing is 6.07%, and women are more than 4 times of men. Some constipation and anal diseases, such as hemorrhoids, anal fissures, etc. have a close relationship. Therefore, early prevention and reasonable treatment of constipation will greatly reduce the serious consequences of constipation and social burden. However, the previous concept of constipation is only a medical disease, with the continuous in-depth basic and clinical research on constipation and our extensive clinical practice has proved that many constipation disorders can be cured by surgical methods. This prompted clinicians and constipation patients, should abandon the old concept of constipation is only a medical disease, in the case of ineffective medical treatment, should choose anorectal surgery diagnosis, treatment. 4, exclude the treatment of anorectal disease Western medicine than the concept of Chinese medicine, Chinese and Western medicine will be more effective in combination. The treatment of anorectal disease Western medicine and Chinese medicine each have the irreplaceable advantages of each other, the combination of the two advantages complement each other. Our clinical practice has proved that the combination of Chinese and Western medicine in the treatment of common and difficult diseases such as circular hemorrhoids, chronic colitis and constipation has the characteristics of high efficacy, little pain, short course of treatment and few complications and sequelae.