Patients with hemorrhoids exhibit tightness in the anal opening after surgery, which does not exclude the formation of local scar tissue leading to it. In addition, local excision, the extent of the excised skin is not enough, and especially local soft tissue edema can also be significantly painful, with a sense of tension. There may also be unformed bowel movements and even difficulty in passing stool. During surgery, the incision margins should be carefully trimmed, and post-operative anti-infection treatment is needed to observe the nature of the bowel movement and to promptly change the medication and wash after each bowel movement. Appropriate anal dilation after surgery can also improve local scar healing. In addition, regular anoscopic examinations should be performed, and attention should be paid to dietary management.