After mixed hemorrhoid surgery, there are meatballs in the presence of progressive enlargement, pain, infection or recurrence need to be trimmed, other cases do not need to be trimmed. After mixed hemorrhoid surgery, the patient’s anus appeared meatball, mostly for the scar formation or external hemorrhoidal closure of the small venous mass mechanization formation, trimming may lead to anal bleeding, scar aggravation and perianal scar aggravation, and may even lead to anal stenosis. If the patient mixed hemorrhoid after surgery has a meatball showing progressive enlargement, it may be recurrence; if the meatball appears painful, red and swollen, it may be a local infection. Detailed examination should be carried out, and after a clear diagnosis, a second operation is required. Mixed hemorrhoid surgery, perianal meatballs, should be timely to the hospital, clear reasons, give targeted treatment, to avoid delay in treatment.