Some common surgical treatment matters for hemorrhoids are summarized as follows: 1. Surgical indications: conservative treatment is ineffective, hemorrhoids prolapse, bleeding is severe, larger fibrotic internal hemorrhoids, injections and other treatments are not good, combined with anal fissures, anal fistulas, etc., must be operated. 2.Surgical principle: to reset the prolapsed anal cushion through surgery, to preserve the structure of the anal cushion as much as possible, so as to affect the ability of fine stool control as little as possible after surgery. 3.Surgical methods: (1) Thrombosed external hemorrhoid dissection: Applicable to those whose pain does not ease or whose mass does not shrink after conservative treatment of thrombosed external hemorrhoids. (2) Traditional hemorrhoidectomy – external peeling and internal ligation: the efficacy is certain, the cost is lower, the pain is greater, the healing time is longer and there are often complications. (3) PPH surgery: anastomotic hemorrhoid supra-rectal mucosal circumferential stapling. The mechanism of PPH treatment for prolapsed hemorrhoids: circumferential excision of 2-3 cm of mucosa and submucosa of the lower rectum restores the normal anatomical structure, i.e., the anal cushion is returned; the excision of submucosal tissue blocks the blood supply of the suprahemorrhoidal artery to the hemorrhoidal area, causing the hemorrhoid body to atrophy after surgery. Compared with traditional hemorrhoidectomy, PPH surgery has shorter operation time, less postoperative pain, faster recovery and fewer complications, but the price of the instruments is more expensive. (4) Hemorrhoid “stapling”: using the principle of PPH surgery, using manual sutures instead of PPH anastomosis, with the advantages of PPH surgery, the cost is lower, but the surgery is time-consuming and not easy to operate. The specific type of surgery suitable for the patient depends on the patient’s condition. However, it should be fine, minimally invasive and minimally painful.