Simple enlargement of the anal papilla (papillary fibroma) can be removed under anesthesia or ligated. In cases of anal papillomegaly and anal papillitis caused by sinusitis, anal fissure, proctitis, etc., these primary diseases must be treated at the same time, otherwise they will also cause anal papillomegaly and anal papillitis elsewhere. If surgical treatment is temporarily not possible, symptomatic treatment can be given to relieve the pain of the disease. The basic approach is the same as the conservative treatment of sinusitis. It is worth mentioning that if the papillary fibroma is large, it is likely to have a 10% cancer rate due to chronic inflammatory stimulation because it repeatedly prolapses out of the anus during each bowel movement, so it should be surgically removed as soon as possible.