The invention relates to a disposable guide type anorectal hemorrhoid anastomat, which is suitable for being used as an anorectal hemorrhoid incising and sewing surgical instrument. The disposable guide type anorectal hemorrhoid anastomat comprises an abutting nail seat, a pad cutter ring, an abutting nail piece, a nail bin, an annular cutter, a needle pushing piece, a needle bin cover, a positioning shaft, a connecting pipe, an aluminum pipe, a locking ring, a reset spring, a push pipe, a screw, an indication shield, an indication block, an indication pull piece, a spring I, a bolt, an adjusting pipe, a fixing handle, an adjusting knob, an safety card, a spring II, a top post, a moving block, a safety block, a positioning pin I, a support rod, a sounding block, a positioning pin III, a movable handle, a positioning pin II, a torsion spring, a sewing needle and a movable handle shield; the left end of the movable handle is movably connected with the right end of the support rod of which the left end is movably connected with the fixing handle; the moving block is fixed on the screw; the adjusting pipe is matched with a threaded section at the left end of the screw by the top post; the adjusting knob is fixed at the left end of the adjusting pipe.; the sounding block is fixed in a sounding block mounting groove of the fixing handle, and the safety block is movably connected with the fixing handle.