Treatment principles: For hemorrhoids, conservative treatment is not possible; surgery can be done or suspended; treatment of signs with prominent symptoms to eliminate symptoms as the main purpose; when there are clear indications for surgery, then surgery can be performed as soon as possible to reduce the patient’s pain; the best long-term results is the gold standard to test the success of surgery. Stage I internal hemorrhoids: bleeding is the main treatment, mostly conservative treatment, drugs oral, anal plugs, etc.; mucosal erosion bleeding serious can be used to eliminate hemorrhoid spirit injection, Doppler hemorrhoid artery ligation. The second stage of internal hemorrhoids: the beginning of conservative treatment, fumigation, sitz bath, drug anal plugs are more commonly used, often prolapsed can be used to eliminate hemorrhoid spirit injection, Doppler artery ligation, ligation, PPH hemorrhoid mucosal circumcision, internal hemorrhoid shear ligation can also be selected. Stage III internal hemorrhoids: prolapsed, need to be retracted by hand, can be operated as early as possible. Ligation, PPH supra-hemorrhoidal mucosal circumcision, and internal hemorrhoid clipping ligation are more reliable. Stage IV internal hemorrhoids: prolapsed and embedded, emergency surgery as soon as possible, first anti-inflammatory and swelling is excused, traditional surgery such as shear ligation is better; if it can be reset and there is no thrombosis then you can choose to reduce inflammation and swelling first and then elective surgery. Thrombosed external hemorrhoids: only a tiny bit can be treated conservatively, otherwise surgery as early as possible, peeling and excision are possible. Superfluous external hemorrhoids: Depending on the patient’s request, they can be excised, and the wound can be opened or sutured after excision. Inflammatory external hemorrhoids: Depending on the situation, they can be anti-inflammatory or operated on as soon as possible. Varicose external hemorrhoids: In severe cases, the venous plexus can be removed or excised, and the wound can be opened or sutured after surgery. Mixed hemorrhoids: Depending on the condition of internal and external hemorrhoids. The actual fact is that you will be able to get a lot more than just a couple of hours to get a lot more than just a couple of hours. 2. Don’t trust the advice of some private clinics or individual hospitals that say you need surgery when you see hemorrhoids. 3, do not blindly believe that hemorrhoids is a minor surgery, just get it done. There are no less than 30 cases a year of patients who come to me with bleeding hemorrhoids, anal stenosis, painful wounds, and traumatic wounds that do not heal.