Objective: To explore the effects of procedure for prolapse and hemorrhoids (PPH) and Milligan-Morgan on postoperative wound healing, pain degree and recurrence rate in patients with severe hemorrhoids. Methods: A total of 80 patients with severe hemorrhoids confirmed in the hospital were enrolled between June 2020 and June 2023.According to simple random grouping method, they were divided into PPH group (n=40, PPH) and traditional group (n=40, Milligan-Morgan). The surgical indexes (operation time, wound healing time), pain degree at different time points after surgery were compared between the two groups. The occurrence of complications in the two groups was recorded at 3 months after surgery. All patients were followed up for 1 year to compare recurrence between PPH group and traditional group. Results: The operation time, intraoperative blood loss, wound healing time and length of hospital stay in PPH group were lower than those in traditional group (P<0.05). At 24h after surgery, after the first defecation and at 7d after surgery, pain scores in PPH group were lower than those in traditional group (P<0.05). After 3 months after surgery, there was no significant difference in total incidence of complications between PPH group and traditional group (12.50% vs 27.50%, P>0.05). After 1 year of follow-up, there was 1 case (2.50%) with recurrence in PPH group and 8 cases (20.00%) with recurrence in traditional group, and recurrence rate in PPH group was lower than that in traditional group (P<0.05). Conclusion: Compared with Milligan-Morgan, PPH can shorten operation time and length of hospital stay, reduce blood loss, which is conducive to wound healing, with milder postoperative pain, fewer postoperative complications and lower recurrence rate.