The anal fissure and internal hemorrhoid without bleeding, conservative treatment for five months is not good, need to immediately consult a doctor, improve the relevant examination, conservative treatment is ineffective need to perform surgical treatment. The fissure with internal hemorrhoids is a common perianal disease, which can be cured by medication and surgical treatment. Five months of anal fissure will develop into chronic anal fissure, anal fissure has been fibrosis, the wound is difficult to heal, conservative treatment effect is very poor, at this time the need for surgical treatment. Anal fissure surgery has internal and external sphincterotomy, anal fissure resection; combined with internal hemorrhoids at the same time to give hemorrhoidectomy or hemorrhoidal ligation, can lift the spasm of the sphincter, relieve the discomfort of the patient’s symptoms, the need to standardize the care after the operation, and comply with the doctor’s instructions outpatient regular review. For a long course of anal fissure and internal hemorrhoids, you need to go to the hospital in time for related treatment, chronic anal fissure is difficult to cure through conservative treatment. Therefore, the above situation, it is recommended that patients go to the hospital in a timely manner to actively cooperate with the doctor’s examination, to clarify the condition, under the guidance of a professional doctor for standardized treatment, to avoid delayed aggravation of the condition.