AIM: To assess the clinical value of procedure for prolapse and haemorrhoids (PPH). METHODS: A total of 226 III- and IV-degree haemorrhoids were treated with PPH. The pain, bleeding, prolapse and edema in annal, before the procedure,1, 6 and 30 days after the procedure, and in the end of the follow-up were analyzed. RESULTS: Of the 226 patients, the mean operation time was 9 min. In the next day after the procedure, the pain rate was 20.5% and the bleeding rate was 5.7%, but 30 days later, pain and bleeding were cured. All the patients had the first stool 46.9±10.9 h after the procedure and the mean hospital time was 4.4±1.2 d. 8.0±1.7 d after the procedure, most of the patients came to the work. Retention of urine (10%) and bleeding (5.7%) were the main compli- cations. The unusual complications included infection, stenosis and back ache. There were 2 severe patients who had twice of procedure. In 186 patients followed-up (89.6%), 4.5% had a little bleeding. The mean follow-up time was 22.4±7.4 mo.