Whether or not mixed hemorrhoids need surgical treatment depends on the extent of the condition. In medicine, mixed hemorrhoids are usually divided into four stages, including Stage I, Stage II, Stage III and Stage IV. Generally speaking, it is recommended to avoid surgical treatment for stage Ⅰ and Ⅱ, but when the patient’s symptoms have reached stage Ⅲ and Ⅳ, surgical treatment is recommended. 1. Stage Ⅰ, Ⅱ: Generally, patients in stage Ⅰ have only a small amount of bleeding in defecation, and there is no prolapse of hemorrhoids, which basically will not affect their life. In stage Ⅱ, the amount of blood in defecation is small, and the prolapsed hemorrhoids can recover on their own, which will not affect the quality of life. Therefore, in general, patients in stage Ⅰ, stage Ⅱ can not need surgical treatment. Patients can improve dietary habits, regular work and rest, etc., can also be warm salt water sitz bath or local topical hemorrhoid suppository, anti-inflammatory suppository and so on to ease the discomfort. 2. Stage Ⅲ, Ⅳ: when the patient’s mixed hemorrhoids reach stage Ⅲ, Ⅳ, there may be prolapsed hemorrhoids and can not be recovered by themselves, need to be manually pushed back to restore the prolapsed hemorrhoids to their original position, and bleeding into a jet after defecation, the formation of thrombus embedded in a serious manner, it is recommended that the patients in the Ⅲ, Ⅳ stage of timely surgical treatment. In addition, when there is discomfort in the anal region, it is recommended to consult a doctor in a timely manner, under the guidance of the doctor for appropriate treatment.