Patient: Description (time of onset, main symptoms, hospital visited, etc.): I have had circular hemorrhoids mixed hemorrhoids for many years, now almost three stages, usually a little prolapsed, can not be retracted, usually not bleeding, no pain Do I need surgery? If traditional surgical treatment can multiple hemorrhoids be cut out at once? Thank you! The anorectal department of Jinhua Hospital Chen Shufen: Stage three hemorrhoids have met the indications for surgery and require surgery to eliminate the nucleus, which can be removed at once. Circumferential mixed hemorrhoids are generally operated with segmental sutures plus internal ligation and external incision, which is less likely to produce complications of anal slit, and the wound can heal in one month after surgery.