Indications for surgery of hepatic hemangioma 1.Newly discovered “hepatic hemangioma” but difficult to distinguish from other hepatic occupying lesions, especially if combined with positive hepatitis virus indicators or a history of chronic liver disease. 2.Hepatic hemangioma with clinical manifestations, such as abdominal pain, adjacent organ compression, kasabach-Merritt (abnormal platelet consumption) syndrome. 3.Hemangioma with obvious growth rate Age: Be cautious in surgery for patients over 60 years old, and do not operate without obvious symptoms. Tumor size: <5cm generally do not need surgery, regular follow-up; 5-10cm should be decided according to the above indications; >10cm generally need surgery. Surgery should be relatively aggressive for hemangiomas occurring in the periphery of the liver, growing with a tip, or in complex and dangerous areas. Giant hepatic hemangioma in young women: hepatic hemangioma has the characteristics of accelerated growth during pregnancy and the risk of rupture and hemorrhage during delivery. Special occupations: Surgical resection may be considered for giant hepatic hemangiomas that may cause liver trauma when the patient is engaged in strenuous sports or enthusiasts, such as boxing and soccer.