There are traditionally nine hemorrhoids in ten people, which is a slight exaggeration, but it also illustrates the high incidence and prevalence of hemorrhoids. Medically, for hemorrhoids with relatively mild symptoms, conservative treatments such as dietary modifications, magnetic therapy, sitz baths and medication are generally taken. However, for patients with relatively severe symptoms, they should be treated with early surgical removal. A lot of people are cold-hearted when they hear a cut under the buttocks, “rather than pain”, but they do not know that hemorrhoidectomy is not as scary as the general public thinks. The truth about hemorrhoidectomy is that it is not terrible Traditional hemorrhoidectomy methods are suitable for patients with hemorrhoids who have not achieved satisfactory results from conservative treatment or apparatus treatment such as injection therapy or rubber band ligation, as well as for patients with severe hemorrhoids who are willing to undergo surgical treatment. Hemorrhoidectomy The main method used is external peeling and internal ligation, which has a clear therapeutic effect and a high success rate, and can effectively improve the clinical symptoms of patients, and is also the common surgical treatment and the “gold standard procedure” for patients with III-IV internal or external hemorrhoids or combined with prolapsed mixed hemorrhoids. There are two types of surgery, open and closed, depending on the treatment of the surgical wound. A systematic evaluation of conventional hemorrhoidectomy has shown that closed-site surgery takes longer than open-site surgery, but is less painful, heals faster, and has a lower risk of postoperative bleeding. This suggests a greater measurable clinical advantage for trabecular closure surgery, but with improvements in surgical instrumentation, there is a significant narrowing of the difference. Second, hemorrhoidectomy has better long-term outcomes for patients with grade III hemorrhoids and a lower proportion of patients requiring retreatment compared with device therapy. Potential risks of hemorrhoidectomy, do not take it lightly after surgery Although hemorrhoidectomy has many advantages, damage to the patient’s internal sphincter and peripheral nerves is often unavoidable because the procedure is always an invasive operation. It may affect the patient’s anal self-control function and the fine sensation of the anal canal, and some patients are more prone to postoperative complications such as bleeding, local pain, infection, and constipation, or even urinary retention. In addition, patients who do not strictly follow medical advice for postoperative care also have a certain probability of recurrence, especially in patients with moderate to severe hemorrhoids, and the direct causes of recurrence are mostly related to anal canal stenosis, anal papillae hypertrophy, high anastomotic position, incomplete mucosal circles in the resected specimen, and irregular treatment of skin tags. However, despite these shortcomings, patients with moderate to severe hemorrhoids are not less satisfied with hemorrhoidectomy, so there is no need to worry too much. Patients are advised to follow medical advice to eliminate factors associated with postoperative recurrence of hemorrhoids, including not defecating too early after surgery, avoiding prolonged squatting and sitting, preventing constipation, and actively treating diarrhea. At the same time, it is also necessary to avoid eating spicy and stimulating foods and to enhance personal local hygiene, insisting on warm water washing after each stool to keep the area clean and dry. If accompanied by diseases that cause increased abdominal pressure, such as chronic cough, prostate enlargement, need to be treated. Of course, there are a variety of clinical surgical options for hemorrhoids, each with its own characteristics, advantages and disadvantages. Therefore, patients should follow the advice of their doctors and choose under their guidance according to their conditions. References [1] Meng Zhengchu,Liang Shijie,Wei Jinying. Causes and countermeasures of recurrence after surgery for moderate to severe hemorrhoids [J]. Medical Information,2020,33(20):80-82. [2]Chinese Society of Integrative Medicine, Colorectal and Anorectal Disease Professional Committee. Chinese guidelines for the treatment of hemorrhoid disease (2020)[J]. Colorectal and Anal Surgery,2020,519-521.