As the saying goes, “Ten men have nine hemorrhoids” and “Hemorrhoids are not a problem in old age”. From these two phrases, we can see that the incidence of hemorrhoids is quite high. Everyone is no stranger to hemorrhoids, but their deeper understanding is rare. What’s more, they confuse it with other anal diseases (such as anal fistula), and some mistake it for anal malignant tumors, so they spend their days in depression and give up on themselves. However, after the final authoritative determination, the diagnosis is hemorrhoids. There are countless examples like this, so it is really time for us health care workers to sit down and think quietly. How can the district lead to so many jokes? As we all know, the pathogenesis of hemorrhoids, by most scholars agree is the “anal cushion downward shift doctrine”, anal cushion as the dam’s embankment, every time you open the flood gates are embankment damage, and for us, every time we defecate, fecal matter will be anal cushion produces a shear force, coupled with the force of gravity and the nature of stool quality (such as the hardness of stools) The combination of gravity and the nature of the stool (e.g. hard stools), our anal cushion is dealt a fatal blow, and it may break away from the traction of the surrounding tissues on it, resulting in a downward movement of the anal cushion, and ultimately the formation of hemorrhoids. Just as defecation is a necessary physiological activity, hemorrhoids are a pathological process that everyone has to go through, and it is relevant to everyone. However, not all patients with hemorrhoids need surgery.