The need for surgery for an enlarged anal papilla should be determined by the specific condition. It may or may not have to be done. For, anal papillary hypertrophy clinical symptoms are not too serious, and not accompanied by other anorectal diseases, this time can be treated by drugs to relieve symptoms. Common medications include Ma Yinglong hemorrhoid cream, nitroglycerin ointment, etc., which can relieve anal fissures and hemorrhoids caused by anal papilla hypertrophy. For patients with severe symptoms, repeated prolapse or larger anal papillae, the effect of medication may not be good at this time, so surgery is recommended. Commonly, there are anal papilla excision, anal papilla ligation, etc., which can directly remove the affected area or make the affected area detach by itself. Whether the enlarged anal papillae need surgery should be judged by the attending doctor, it is recommended to go to the hospital in time and follow the doctor’s instructions for treatment to avoid delaying the condition.