Occipital pool cysts can be followed and observed if they are small in size, if they are large they require surgical intervention. Occipital cysts, also known as arachnoid cysts, are relatively common among intracranial lesions and have a high incidence. If the size of the cyst is small, no special treatment is needed, as long as regular follow-up review can be done; if the size of the cyst is larger, surgical intervention is needed. Clinical indications for surgery are cysts larger than 3 centimeters with significant occupying effects. If the cyst causes compression of the adjacent skull, it needs to be treated promptly by surgery or endoscopy, either by shunt surgery or resection. Shunt surgery is less invasive, has fewer complications, and can be very effective in treating occipital cysts. Resection surgery can be curative, has no effect on brain tissue and rarely recurs. If you are diagnosed with an occipital cyst, you should seek medical attention promptly to minimize the adverse effects of the disease.