Bad anal papilla hypertrophy is a common anorectal lesion. It needs to be combined with the severity of the patient’s clinical symptoms to take conservative treatment or surgical treatment measures. The anal papilla is a normal tissue structure in the anal canal region, and when affected by inflammation, hemorrhoids, anal fissure, defecation habits and other factors, pathological changes of anal papilla hypertrophy and hyperplasia may occur. Affected by the lesions, patients may experience anal itching, pain, blood in the stool, and protruding anal masses. If the patient’s clinical symptoms are relatively mild, conservative treatment measures can be taken for the time being. On the one hand, the patient is instructed to have a reasonable diet, eat more celery, spinach, oleaginous vegetables, mushrooms, fungus, apples and other foods, pay attention to supplemental water, and keep the bowel movement; on the other hand, warm water sitz bath can be carried out to keep the perianal area clean and hygienic. After the appearance of symptoms, can be anal into the hemorrhoid cream, hemorrhoid suppository and other drugs to promote the symptoms subside. If the patient’s condition is serious, after formal conservative treatment, clinical symptoms do not improve significantly, it is recommended that surgical treatment. Mainly to anal papilla hypertrophy excision, can completely cure the lesion.