There are many ways of hemorrhoid surgery, the first and more common is the traditional external stripping and internal ligation, usually under lumbar or sacral anesthesia, first of all, the external hemorrhoids will be stripped, and then the internal hemorrhoids will be ligated, and then sutured after excision. Second, mixed hemorrhoidectomy, usually with hemostatic forceps to clamp the base of the internal hemorrhoids, and then the external hemorrhoids and ligation of the internal hemorrhoids and excision, also in the lumbar anesthesia or sacral anesthesia. Third, minimally invasive surgery, PPH surgery is rectal mucosal ring cut stapling, in the dentate line will be loose mucosa ring excision, so that the anal cushion upward, so as to play a curative role. Now often used and TST surgery, selective rectal mucosal cyclotomy stapling, because the mother hemorrhoid area is mainly 3, 7, 11 points, can be selective hemorrhoidal mucosal excision, so that the anal cushion upward, than the advantages of the PPH is that it can be less reduce to prevent the anal stenosis complications such as the occurrence of the anal stenosis.