Abstract: Objective To investigate the complications of procedure for prolapse and hemorrhoids (PPH) and their management. Method The clinical data of 147 cases of severe hemorrhoids treated by modified PPH were analyzed in view of the operation method and postoperative complications. Result All the prolapsed hemorrhoids recovered immediately after the operation. The main complications on the first postoperative day were abdominal distention caused by dysuria, pain, and constant sense of defecation urgency, which lasted for 1 to 16 days. Thirty-six cases had intermittent hemafecia 1 to 12 days after operation, improved with expectant treatment. No stoma stenosis, copracrasia or relapse of prolapse occurred during the follow-up for 1 to 37 months. Conclusion All postoperative complications can be prevented, alleviated and cured with modified PPH.