Most anorectal diseases need timely surgical treatment at a certain stage of development. Premature surgery can cause unnecessary trauma, while late surgery can delay the disease, aggravate the pain or even lose the hope of cure. Most patients do not have the ability to judge this timing. Some ask the doctor for surgery too early because they are afraid of serious problems caused by the disease, and some delay it again and again because they are afraid of pain, which eventually delays the condition. There are also a few irregular doctors who prematurely suggest surgery for the sake of profit, causing patients to hesitate. What should friends suffering from anorectal disease do in the end? First of all, my advice is to visit a regular hospital and follow the doctor’s advice. Medical problems are not mathematical problems, and whether to operate cannot be set in a formula, but must be combined with patient and even social factors to determine how and when to treat, and only an experienced specialist can make a reasonable choice. Second, keep in mind some basic principles of treatment for anal diseases. Anal fistulas and perianal abscesses are diseases that can only be cured by surgery, and conservative treatment has been successful in fewer cases, so please ask your doctor to decide when to operate. The treatment principle of hemorrhoids is “no treatment for hemorrhoids without symptoms”, common symptoms include pain, prolapse, bleeding, itching, etc. Treatment includes conservative therapy and surgical therapy, when recurrent hemorrhoids failed conservative treatment can choose surgery. Constipation, inflammatory bowel disease and other benign diseases do not choose surgery as a last resort. Once benign colorectal polyps are found, they should be removed microscopically as soon as possible and followed up regularly. Once colorectal cancer is detected, radical resection surgery should be done as far as possible, but some patients need radiotherapy and chemotherapy before surgery to increase the efficacy, and they should follow the doctor’s advice. Lastly, and most importantly, once you get to the point where surgery is needed, do not delay, otherwise the consequences will be endless. For example, so many of my patients believe that hemorrhoid surgery is very painful and that they often recover poorly or relapse after surgery. The source of this message is often older hemorrhoid patients around who have delayed surgery for years, and their experience illustrates exactly why surgery should not be delayed. In fact, our hemorrhoid surgery is now so well developed that timely treatment is not only less painful and quicker to recover from, but the anal appearance will also be excellent without the aforementioned conditions.