A common manifestation of hemorrhoids is a meatball in the anal area that is outside the anus or can be returned to the anus. The need to eliminate hemorrhoidal meatballs depends on the combination of other symptoms, and complete elimination requires surgical treatment. Not all hemorrhoid meatballs require surgical treatment; asymptomatic hemorrhoid meatballs do not require treatment, and symptomatic hemorrhoid meatballs are treated conservatively. Surgery is required to eliminate hemorrhoidal meatballs only if conservative treatment is ineffective and the symptoms are more severe. The methods of surgery are: i. Thrombosed external hemorrhoid debridement, which is suitable for those whose pain does not ease even after conservative treatment of thrombosed external hemorrhoids, or whose masses do not shrink. ii. Traditional hemorrhoidectomy, i.e. external peeling and internal ligation of mixed hemorrhoids, is one of the common surgical procedures used in clinical practice. The internal hemorrhoid is peeled off, and the hemorrhoid mass is removed by suturing and ligating at the root of the nucleus. It is effective for treating single or relatively independent of each other mixed hemorrhoids. iii. Circumferential hemorrhoidectomy, a textbook classic procedure, is easy to lead to anal stenosis and is rarely used in clinical practice. Fourth, PPH surgery, i.e., anastomotic supra-rectal mucosal circumferential stapling of hemorrhoids, is mainly suitable for prolapsed third- to fourth-degree mixed circumferential hemorrhoids, as well as some second-degree internal hemorrhoids with severe bleeding.