Objective To observe the analgesic effect and adverse reactions of three kinds of spinal anesthesia methods for procedure for prolapse and hemorrhoidsand explore the preferred anesthesia method. Methods Ninety patients with PPH were enrolled in our hospital in 2016. They were randomly divided into three groups(30 patients in each group):group A(combined spinal and epidural anesthesia),group B(one point of puncture continued epidural anesthesia),and group C(two points of puncture continued epidural anesthesia). The blood pressure,heart rate and blood oxygen saturation were recorded before operation,intraoperative and postoper-ative processes. The anesthetic effect was graded,and the anesthesia effect,urination time and urinary retention were recorded. Results The anesthesia effect of the group A and the group C was significantly better than that of the group B(P < 0.05). The urination time of the group B and the group C was shorter than that of the group A (P < 0.05). The incidence of urinary retention in the group A was significantly higher than that in the group B andthe group C(P < 0.05). Conclusions The PPH can be completed under the combined spinal and epidural anesthesia and the two points of puncture continued epidural anesthesia with anesthesia effect and less traction reaction,but the latter will be a preferred option with the advantages of fast renewal and less urinary retention. It is worthy to be promoted widely.