The small fleshy bumps below the anus are mainly considered as follows: First, consider mixed hemorrhoids. Mixed hemorrhoids are divided into varicose mixed hemorrhoids, thrombotic mixed hemorrhoids, inflammatory mixed hemorrhoids as well as superfluous mixed hemorrhoids inflammatory. The inflammatory mixed hemorrhoids as well as the varicose vein type of mixed hemorrhoids are small fleshy bumps, but there is no significant pain. However, inflammatory mixed hemorrhoids and thrombosed mixed hemorrhoids are also fleshy bumps that can be significantly painful. Secondly, the considered fleshy bumps may be a prolapsed rectal polyp, or a hypertrophic anal papilloma prolapsing outside the anus, which has its roots inside the anal canal and can be pushed inside the anus by hand, and only comes out when defecating, and surgery is chosen for this disease. Third, the diagnosis under consideration is extracutaneous nevus, which is also a painless small bump outside the anus without any symptoms or special treatment.