External peeling and internal ligation refers to the traditional surgical method for mixed hemorrhoids in clinical practice. The size of the pros and cons mainly depends on the patient’s condition, the operation of the surgery, sequelae, etc. As long as the patient is in line with the indications for surgery, the benefits outweigh the disadvantages, and there is a large amount of bleeding, anal stenosis of the person who has more disadvantages than benefits. 1. The advantages outweigh the disadvantages: External peeling and internal ligation is for mixed hemorrhoids below the dentate line of the hemorrhoidal nucleus for stripping, and above the dentate line of the site is given ligation treatment, after the operation, more good recovery, mixed hemorrhoids caused by pain, bleeding, prolapse and other symptoms can disappear, the advantages are greater than the disadvantages. 2. The disadvantages outweigh the advantages: (1) for the hemorrhoids number of mild ring mixed hemorrhoids patients, for external peeling and internal ligation, if the retained skin bridge is too little or not retained skin bridge, in the postoperative period may lead to anal stenosis, which in turn caused by the difficult situation of bowel movement, the disadvantages outweigh the advantages. (2) For the ligature above the dentate line, if the ligature is dislodged after the operation and causes a lot of bleeding, it may lead to anemia, hemorrhagic shock, or even death if the treatment is not timely, so the disadvantages outweigh the advantages. It is recommended that the patient go to the hospital, clarify the condition of the patient, and the professional physician will determine what kind of surgery to give according to the condition of the patient, such as PPH surgery, adhesive ring ligation hemorrhoidal surgery, or traditional external peeling and internal ligation surgery, careful operation during the operation, and pay attention to the observation after the operation, and find out the situation in time to deal with.