If the symptoms of hemorrhoids are severe and conservative treatment does not work, then you should opt for surgical treatment. If the hemorrhoid is a circumferential mixed hemorrhoid, then you can opt for PPH surgery, which is an anastomotic suprahemorrhoidal mucosal circumferential hemorrhoidectomy, a minimally invasive procedure for hemorrhoids that has become more popular in recent years. There are certainly benefits to having such a procedure, but it is worth noting that there are two sides to everything, and having PPH surgery for hemorrhoids also has its limitations and drawbacks. The benefits of doing PPH surgery are short surgery time, exact surgical results, good long term results and quick recovery after the surgery. And the disadvantages of doing PPH surgery for hemorrhoids are that it may lead to severe bleeding and there may be long-term rectal anal swelling after the surgery. So choose the right one for you, there are pros and cons to everything.