Minimally invasive treatment is a treatment that maximizes the patient’s benefit with minimal interventions. In recent years, due to the development and popularity of laparoscopic technology, the concept of minimally invasive treatment has gradually been introduced into all areas of surgery, and the treatment of hemorrhoids is no exception. So what aspects of minimally invasive hemorrhoid treatment should be implemented? The following is a brief overview of my use of minimally invasive treatment for hemorrhoids: First: determine the severity of the hemorrhoid and its type. There are internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids. The internal hemorrhoids are clinically classified into 4 degrees according to their severity. degree I: blood in stool, dripping blood, bleeding after stool, can stop by itself; no hemorrhoid prolapse. degree II: frequent blood in stool; hemorrhoid prolapse during defecation, can be returned by itself after stool. degree III: can have blood in stool; hemorrhoid prolapse during defecation or prolonged standing or coughing, exertion or weight bearing, need to be returned by hand. degree IV: can have blood in stool; hemorrhoid persistently prolapse or easily prolapse after return. There are several common types of external hemorrhoids as follows: thrombosed external hemorrhoids, varicose external hemorrhoids, connective tissue external hemorrhoids, inflammatory external hemorrhoids. Mixed hemorrhoids are internal and external hemorrhoids that co-exist. Second: We need to understand what the purpose of hemorrhoid treatment is. The presence of hemorrhoid tissue can be found in our normal human physical examination, and if there are no symptoms there is no need for treatment. The Chinese Medical Association in the clinical treatment guidelines of hemorrhoids clearly put forward the principle of hemorrhoid treatment that asymptomatic hemorrhoids do not need treatment, the purpose of treatment is to eliminate and reduce the symptoms of hemorrhoids, to relieve the symptoms of hemorrhoids is more meaningful than changing the size of the hemorrhoid body. Once again: only then can we talk about the minimally invasive treatment situation. If you can get good results by improving your diet, keeping your bowels open and cleaning your perianal area, but instead you use medication, then this treatment cannot be called minimally invasive; if you can get good results by medication, but instead you use surgery, then this treatment cannot be called minimally invasive either. If the hemorrhoids can be treated well with medication, but surgery is used instead, then this treatment cannot be called minimally invasive either. Minimally invasive treatment of hemorrhoids is a series of treatment strategies to obtain the best results with the most suitable, simple and least invasive treatment. Finally: a brief overview of minimally invasive hemorrhoid treatment. Treatment of internal hemorrhoids. Generally speaking, the treatment of degree I and II hemorrhoids is based on improving diet, keeping the bowels open, taking sitz baths to keep the anus clean, and medication, while the treatment of degree III and IV hemorrhoids is based on surgery. However, the surgical treatment should also be based on the method, because there may be hemorrhoid nuclei in the anal canal for a week. For hemorrhoids with a single nucleus or less than 3 nuclei, the internal hemorrhoid ligation method or the rubber ring ligation method or the TST technique (a technique that has emerged in recent years) can be adopted according to the specific situation, and PPH surgery can be adopted for ring hemorrhoid prolapse. External hemorrhoid treatment. Thrombosed external hemorrhoids can be treated with thrombectomy, varicose external hemorrhoids and inflammatory external hemorrhoids can be treated with excision, and attention should be paid to the design of the flap to prevent postoperative complications. Treatment of mixed hemorrhoids. The treatment of mixed hemorrhoids is more difficult to deal with in hemorrhoids because you have to choose different surgical procedures according to the specific circumstances of the hemorrhoids, and it is possible to use several surgical procedures and multiple surgical techniques in the same hemorrhoid surgery to give the patient a better treatment result. In the actual treatment of hemorrhoids we must also constantly update our knowledge and concepts so that the level of hemorrhoid treatment never stops. In recent years, the over-treatment of hemorrhoids for a variety of reasons is obviously incorrect, so we need to popularize the knowledge of minimally invasive hemorrhoid treatment so that our patients and friends can get more benefit from it.