The anorectal surgeon examines whether the patient has hemorrhoids, usually by a combination of visual and palpation and asking the patient’s medical history to determine whether the patient has hemorrhoids. 1. continuously asking the patient’s medical history whether the patient has bleeding in the stool, whether the lump is prolapsing after defecation. 2. visually examining the anus to see whether the perianal condition is skinny, external hemorrhoids, and mixed hemorrhoids prolapsing outside the anus. 3. anal finger examination, finger examination can rule out other diseases such as Low malignant tumors of the rectum, rectal polyps, and other diseases. During the anal finger examination, if there are hemorrhoids, the bulging blood vessels will be touched, surrounding the anus for a week, and some are on the side of the anus. Combining these three points will confirm the diagnosis of the presence of hemorrhoids.