The indications for surgery for hemorrhoids can be simply summarized as: hemorrhoids that have symptoms and affect the patient’s daily life after food and lifestyle adjustments, ineffective or poor results of medication. There are two meanings: one is that the hemorrhoid has symptoms such as bleeding, pain, itching, prolapse, and downward movement; the other is that the above symptoms are ineffective or ineffective after conservative treatment. Such hemorrhoids only need surgery. For hemorrhoids that have no symptoms are not treated. Whether or not a hemorrhoid needs surgery is actually the result of a joint decision between the doctor and the patient, and the patient’s subjective feelings play an important role in whether or not to operate. For example, if a person has obvious manifestations of hemorrhoids, with prolapsed hemorrhoids, recurrent bleeding, etc., but the patient feels no significant discomfort and has little impact on life, surgery is not necessary for such cases. In some cases, the signs of hemorrhoids are relatively light, such as internal hemorrhoids of only 2 degrees, and the bleeding is not heavy, but the patient feels that the hemorrhoids are causing great inconvenience to life, and for such hemorrhoids, surgery can be performed after medication has failed. The purpose of hemorrhoid surgery is to eliminate the symptoms caused by hemorrhoids, not to pursue the complete removal of hemorrhoids, and to protect the function of the anus. The common methods of hemorrhoid surgery are: rubber band ligation, hemorrhoid vascular suture suspension, sclerotherapy, external peeling and internal ligation, and anastomotic mucosal excision and stapling of hemorrhoids (PPH). It is not easy to do a good hemorrhoid surgery because each hemorrhoid patient behaves differently, and no single surgery can cure all patients. Doctors often need to combine several surgical methods according to the actual situation to achieve more satisfactory results, eliminating the symptoms of hemorrhoids while leaving the anal function unaffected.