The optimal timing of surgery for an epiglottic cyst needs to be evaluated based on the size and clinical symptoms of the cyst. For patients with small cysts and no obvious clinical symptoms, they can be treated conservatively with regular observation. For larger cysts with foreign body sensation or secondary infection, prompt consultation with the ENT department and surgical excision should be performed if necessary. Epiglottic cysts can be divided into congenital epiglottic cysts and acquired epiglottic cysts according to their etiology. Congenital epiglottic cysts are usually due to developmental malformations, while acquired epiglottic cysts are mostly due to chronic inflammation and trauma to the larynx. Patients with no obvious symptoms or mild clinical symptoms usually do not require treatment and can be followed up for regular observation. If it develops into a foreign body sensation or a combined infection situation, it should be promptly seen and surgical removal should be taken. Postoperative systemic treatment with antibiotics is routine, and local nebulization treatment can be given to relieve local swelling. Generally, the prognosis of surgery for epiglottic cysts is good and not easy to recur. Once there is a foreign body sensation or other discomfort in the pharynx, you should go to the ENT department of the hospital in time, and after it is confirmed to be an epiglottic cyst through relevant examination, you should carry out treatment according to the doctor’s instruction.