Treatment of hemorrhoids follows the principle of conservative treatment first, followed by surgery or minimally invasive surgery. If conservative treatment is not effective, then consider surgical treatment. The treatment of hemorrhoids has the following principles: 1. Asymptomatic hemorrhoids do not require surgical treatment; 2. Symptomatic hemorrhoids can be treated by conservative treatment, like local medication, or keeping the stool open and softening it, but when serious conditions arise, you can choose surgical or minimally invasive treatment, and consider surgery only if conservative treatment does not work; the expected effect of conservative treatment is not good, or in the following cases you can choose Surgery. In general, mixed hemorrhoids are first treated with medication, and when the effect of medication is very poor, or if the symptoms recur, surgery is taken, such as bleeding is more serious, fecal blood, more blood, internal or external drug treatment is not effective, and it is easy to recur. Such as prolapse, prolapse can not be returned to the formation of blood clots, the formation of ring-shaped embedded, necrosis, pain is unbearable, also need surgery. In the specific treatment, with the patient’s self-symptoms combined with the anal lesions as the basis for the selection of safe and effective treatment. For mixed hemorrhoids without clinical symptoms, surgery is generally not taken, i.e., if mixed hemorrhoids are found during examination, surgical treatment is not used as the preferred treatment option as long as there are no obvious bleeding symptoms, prolapse symptoms, or painful symptoms. The need for surgery for mixed hemorrhoids varies from person to person and is only necessary if it affects life and work or has potential physical effects.