Lipomas in the back that are larger than 5cm should be treated surgically, and it is best to remove the tumor, because besides affecting the beauty of the back, they may also cause symptoms, including back pressure and pain when sleeping, so larger lipomas should be removed as soon as possible. Some lipomas in the back may be painful when they are relatively small, and they may even produce small localized hard nodes when touched. Lipomas in the back should be examined in detail by a regular surgeon, and the appropriate treatment plan should be selected for surgical removal.