Connective tissue external hemorrhoids usually require surgical removal to eliminate. It can be eliminated by hemorrhoidectomy, stripping and ligature excision. Connective tissue external hemorrhoids are a soft, redundant mass of skin that proliferates and prolapses. There are no visible varicose veins in the hemorrhoid nucleus, and there are relatively few blood vessels, which show up as a wider base and longer tip. It is yellow-brown or brownish-black in color, protrudes beyond the anal skin, and varies in size and shape. They may be coronal or leaf-shaped, and are more common in the anterior and posterior anus proper. Sometimes multiple lesions surround the anus for a week, resembling daisy petals. Connective tissue external hemorrhoids usually require surgical removal to eliminate. They can be eliminated by hemorrhoidectomy, stripping and ligature excision. You can also choose minimally invasive surgery to perform ligation of connective tissue external hemorrhoids and wait for the hemorrhoids to necrose and fall off on their own, or you can directly apply electrocautery to remove them. Normally there are no symptoms of connective tissue external hemorrhoids, can not be treated, just need to strengthen the management in daily life can be. Patients with connective tissue external hemorrhoids should pay attention to their dietary habits, avoid spicy and stimulating foods, maintain good bowel habits, keep the perianal area clean and hygienic to avoid causing local infection and rupture, and undergo regular checkups.