A hard lump near the perianal area that is not painful to touch may be related to sebaceous cysts, external hemorrhoids, warts, perianal abscesses and other causes. 1. Sebaceous cysts: If the sebum secreted by the sebaceous glands cannot be discharged from the hair follicles, it can lead to a hard lump near the perianal area, which may not be accompanied by pain. 2. External hemorrhoids: a hard lump can be seen at the anal opening without pain. 3. Condyloma acuminatum: If the skin near the anus is attacked by human papilloma virus, it can lead to the appearance of localized cauliflower-like or papillomatous lumps without pain. 4. Perianal infection: Bacterial infections occurring in the tissues and interstitial spaces around the anorectal area, early in the subcutaneous formation of localized lumps, hard and painless to touch, antibiotics can be given to anti-infective treatment to control. The gradual increase of the lump will be accompanied by redness, swelling, pain, fluctuating feeling and other discomforts, need to incise and drain the treatment. It is recommended that those who have a hard lump near the perianal area that is not painful to touch, go to the hospital in time to clarify the cause of the disease and standardize the treatment under the guidance of the doctor, so as to avoid aggravation of the condition.