Generally speaking, I do not advocate surgical solutions to anal bloating. Because the causes of anal bloating are often complex and may have multiple causes in one patient, it is difficult to solve all the causes with surgical treatment. Personally, I believe that the symptoms of anal swelling need to be treated comprehensively. There are many possible causes of anal swelling, mainly: certain gynecological diseases, perimenopausal syndrome, male prostate diseases, urinary system diseases, anorectal diseases (such as sinusitis, proctitis, anal neurosis, etc.), and psychological factors. Often there are multiple causes. Therefore, treatment needs to take multiple aspects into consideration. This is one of the common reasons why many patients cannot achieve satisfactory results even after a long time of treatment in many places.