Circumferential hemorrhoids can be removed all at once, and there is a surgical procedure for hemorrhoids in the clinic called circumferential hemorrhoidectomy, which has been used relatively rarely in the clinic, with relatively high surgical trauma and postoperative complications. Currently in the clinic for circumferential hemorrhoids, consider performing a circumferential mucosal excision on the hemorrhoids, which can be performed with an anastomosis, after which the nucleus and anal cushion are lifted and some small circumferential mixed hemorrhoids disappear naturally. For hemorrhoids that are still more pronounced and larger in size, add a mixed hemorrhoid external peeling and internal ligation procedure to increase the effectiveness of treatment.