The invention relates to a hemorrhoids treatment apparatus and an operating method of the hemorrhoids treatment apparatus. The hemorrhoids treatment apparatus comprises a permanent magnet or an electromagnet, a motor for driving the permanent magnet or the electromagnet to rotate, and a sleeve sleeving the permanent magnet or the electromagnet. In use of the hemorrhoids treatment apparatus, the sleeve is sleeved by a sanitary sleeve, hemorrhoids-treating ointment is applied to the sanitary sleeve, then the sleeve is inserted into the anus, the motor is started for driving the permanent magnet or the electromagnet to rotate, and then the rotation magnet-therapy treatment is carried out on the hemorrhoids. The rotation magnet therapy has the efficacies that an alternating magnetic field output from the sleeve enables the human body cells to generate induction, so that the cell membrane potential is changed, then the membrane depolarization effect is generated, thus the permeability of tissue cells is enhanced, consequently, the cell arrangement is in order, and finally, the effective absorption of the local inflamed tissue for hematomas and edema exudation is facilitated. The four different physical therapy methods including rotation magnet-therapy treatment, hot compress treatment, vibratory massage treatment and 650NM laser treatment are adopted, and ani sphincter administration is also matched for carrying out comprehensive treatment on the internal and external hemorrhoids inflammation.