Epididymal head cyst 5*5mm usually does not need treatment, but when the cyst continues to grow and symptoms affecting life and work appear, treatment should be carried out. Generally, epididymal head cysts are not necessary to be treated by surgical excision, because epididymal head cysts usually do not cause serious symptoms, and even some patients do not have any symptoms, and surgery may also increase the risk of infertility, it is recommended to observe first, unless the cysts continue to grow, more than 2-3cm, and when the local symptoms are serious, affecting the life, it should be treated by surgery such as cystectomy. When found with epididymal head cysts, should not deduce on their own whether they need to be treated or not, they should go to a regular hospital in time, early clarification of the condition and early treatment.