External hemorrhoids are very large, and the only way to make them disappear completely is to remove them surgically. Using medication can control the local edema or thrombosis of external hemorrhoids, but it does not make them disappear completely. The treatment of external hemorrhoids is mainly based on conservative treatment with medication. External hemorrhoids can manifest themselves as sudden local swelling and pain, repeated itching and moistness, etc. As long as the similar symptoms can be controlled by using medication, surgical removal is not considered. However, if the external hemorrhoid is large, and the clinical symptoms appear repeatedly and even affect the patient’s work and life, surgical excision should be considered. Therefore, patients should go to the hospital to assess the severity of the symptoms of external hemorrhoids to see if they need surgical treatment.