Circumferential Mixed Hemorrhoid Surgery is mainly done through external peeling and internal ligation, TST minimally invasive surgery, suprahemorrhoidal mucosal ring anastomosis, elastic cord ligation surgery and so on. It is recommended to choose the right way to do the surgery under the guidance of professional doctors. 1. External peeling and internal ligation: in the absence of special circumstances, you can choose the external peeling and internal ligation, can be relatively fast to stop bleeding, eliminate the pain in the anal area, is the most classic traditional surgical method, that is, in the lower end of the hemorrhoids at the junction of the skin and mucous membrane of the part of the V incision, and then externally peeling the ring hemorrhoid, in the hemorrhoidal root of the ligation of the suture. 2.TST minimally invasive surgery: on the basis of PPH surgery, TST surgery selective excision of hemorrhoidal nuclei, small complications. Patients can do it without contraindications. Some bleeding, pain, edema, and residual hemorrhoids may occur after surgery. 3. Hemorrhoidal mucosal circumferential anastomosis: the application of unique surgical instruments, in the hemorrhoids about two centimeters circular excision of a circle of mucosa, the hemorrhoidal nucleus of mixed hemorrhoids as a whole upward to raise, play a role in the treatment. Patients can be treated with this procedure if there is no obvious prolapse occurring. It facilitates the complete removal of the lesion. 4. elastic wire ligation surgery: in recent years, the emergence of elastic wire ligation surgery, is in the ligation method improved, easy for doctors to operate, relatively few postoperative complications. Each surgical procedure has its advantages and disadvantages. In the clinic, the doctor will choose the appropriate method of treatment according to the patient’s condition, which may be a combination of several surgical procedures for the treatment of severe hemorrhoids.