Patients with 2 degrees of anterior rectal protrusion usually need surgery if they have uncomfortable symptoms such as difficulty in having a bowel movement. However, surgery is not required if there are no abnormalities such as difficulty in bowel movements. There is no such thing as good or bad. Anterior rectal protrusion means that due to the weak anatomical structure in front of the rectum, the rectum protrudes forward like a pouch under the pressure of feces for a long period of time, which is one of the main causes of constipation of outlet obstruction type. Rectal protrusion 2 degrees refers to the rectum protrudes into the vagina 1.5~3cm, the patient manifests as difficult defecation, defecation incomplete feeling. If the rectum protrudes into the vagina 1.5~3cm, the patient may have difficulty in defecation, feeling of incomplete defecation, which affects the normal life of the patient, then surgery is needed, and the commonly used surgical methods include transanal anastomosis proctocolectomy or transvaginal posterior wall incision repair, etc., which can improve the abnormal anatomical position of the rectum protruding into the vagina directly. Most patients heal after surgery and have a good prognosis. If anterior rectal protrusion of 2 degrees does not affect the patient’s daily life without any bowel discomfort, surgery is not necessary. Usually pay attention to strengthening training, drink more water, eat more fruits and vegetables and other fiber-rich foods to keep the bowels clear. When patients are examined for proctology 2 degrees, they should follow the doctor’s instructions for treatment.