The invention relates to a medical device, in particular to an adjustable anal surgery platform. The adjustable anal surgery platform includes an anoscope body and an inner core, the inner core is placed in the anoscope body, and the anoscope body includes an anterior section, an extended section, and an anal section, wherein the anterior section, the extended section, and the anal section are arranged in order from front to back; a control knob is arranged at the tail end of the anal section; the diameter of the extended section is adjustable, compared with the prior art, the anal surgery platform is easy to adjust, the size of an anoscope can be adjusted according to the size of an actual lesion, thus the difficulty of operation is greatly reduced, the success rate of surgery is increased, in addition, an enteric cavity does not need to be inflated with air when the anal surgery platform is in use, the pain of a patient is alleviated, the surgery field of a healer is also stabilized,the success rate of surgery is further increased, the anal surgery platform is suitable for minimally invasive surgery for different patients, an open surgery or laparoscopic surgery is not needed, the physical trauma of the patient is reduced, and the adjustable anal surgery platform is worthy of clinical promotion.