Hemorrhoids are a common human disease, and according to our literature, 46.3% of the examined population suffer from hemorrhoids. Circumferential mixed hemorrhoids are one of the most difficult diseases in anorectology and require surgical treatment. How to achieve a complete cure of hemorrhoid disease in one phase while maximizing the protection of anal function, reducing the recurrence rate after surgery, and reducing the occurrence of anal stenosis and other complications is a major topic of exploration in the academic field of anorectology today. First of all, the impact of the concept of “minimally invasive” has led to the emergence of a variety of minimally invasive treatment methods. The need for the least invasive surgery has accelerated the development of minimally invasive surgical methods, such as sclerotherapy, ligature therapy, cryotherapy, and infrared light coagulation, etc., with which “PPH” and “ultrasonic Doppler” have been developed. The need for minimally invasive procedures accelerated the development of “minimally invasive” surgical methods. This series of methods has been widely promoted all over the world. However, in clinical practice, deficiencies and shortcomings have been identified. In 1995, MacRae and Mcleod conducted a meta-analysis of minimally invasive treatment methods and concluded that collar ligation should be recommended as the treatment of choice for stage I and II hemorrhoids because patients treated with collar ligation rarely, compared to those treated with sclerotherapy or infrared treatment Further treatment is required. The need for the least invasive surgery has accelerated the development of “minimally invasive” surgical methods, with which the “PPH” and “ultrasonic Doppler superior hemorrhoidal artery ligation” have emerged. In clinical practice, the shortcomings and flaws of these procedures were discovered. Some of them can effectively improve the bleeding symptoms, but can not do anything about the prolapse; some of them can improve the symptoms, but are too traumatic. Ligation therapy is a traditional Chinese medical treatment, and it was recorded in the “Taiping Shenghui Fang” of the Song Dynasty that “spider silk is used to wrap around the papillae of hemorrhoids, and they fall off without feeling.” The ligature is a modified version of ligature therapy, using a rubber ring instead of silk. The method of suturing has been recorded in the Han Dynasty “The Book of the Later Han” in the account of gastrointestinal suture surgery “If in the intestines, then cut off and wash, remove the disease, and both suture, Bo to the sacred ointment.”