The main option for external hemorrhoids is surgery. Open surgery, especially for acute thrombosed external hemorrhoids, should be routinely disinfected and toweled under anesthetic support, and incisions in the long axis of the lesion or paranal and radial incisions should be taken to avoid postoperative formation of scar tissue hyperplasia leading to pain. In addition, the lesion is carefully separated during surgery, the nucleus and plugs are stripped to avoid residuals, and the feeding vessels are ligated. During surgery, attention is paid to avoid damage to the anal sphincter, and the wound after surgery is dressed with local pressure using Vaseline gauze and hemostatic powder, and postoperative anti-infective treatment is actively administered intravenously. For simple connective tissue external hemorrhoids, they can also be excised and sutured under local anesthesia or locally excised with an electric knife. You should pay attention to the hygiene around the anus, and it is best to cleanse and take a sitz bath after each bowel movement to improve the local hygiene as well.