Choice of Hemorrhoid Surgical Methods There are many surgical methods for hemorrhoids, broadly speaking, divided into minimally invasive and traditional surgical treatments. Traditional surgical treatment has external peeling and internal ligation, while there are many minimally invasive methods, including PPH, TST, infrared coagulation, hemorrhoidal artery ultrasound under ligation, submucosal ligation and so on, in fact, submucosal sclerosing agent injection, also belongs to a kind of minimally invasive, which can be used for the elderly, patients who are not suitable for surgical treatment. In our country, PPH surgery is applied more, it is suitable for patients with bleeding and prolapse of internal hemorrhoids, the effect is more ideal. Mixed hemorrhoids need PPH combined with traditional surgical treatment effect is good, internal hemorrhoids line PPH surgery, traditional surgical methods resting external hemorrhoids, this surgical method is more effective, but also effectively alleviate the patient’s traditional ligation of internal hemorrhoids caused by the spasm of the internal sphincter pain, at the same time, the trauma is reduced also reduces the degree of pain of the patient. Generally speaking, anal fistula, perianal abscess is not suitable for minimally invasive treatment, but should be thorough surgery, drainage, reduce recurrence as the basic treatment principle. Only in not too deep fistula combined with more serious internal hemorrhoids can be considered to do PPH minimally invasive treatment. In addition, in some patients with anal fistula combined with severe internal hemorrhoids, PPH surgical treatment should also be considered after traditional surgical resection of anal fistula, because it can complete the surgery at different mucosal heights, reducing the mucosal resection at the same height is more, the defect is larger, and cause rectal mucosal stenosis.