Vulvar epidermoid cysts are most common in the labia majora and perineum, and are slow-growing, as well as solitary or multiple. If a woman has a vulvar epidermoid cyst that is less than 2cm in size and does not cause any pain or discomfort, she can be left alone and followed up regularly for observation. Because vulvar epidermoid cysts are benign lesions, there is no need for surgical treatment because the cysts are relatively small and have no adverse effect on the woman’s body, and medication does not have much effect, so they do not need to be treated. If the epidermoid cyst is more than 3cm in size, and there are uncomfortable symptoms, such as secondary infections, then surgery can be considered to remove the cyst. The procedure is relatively simple, using lidocaine local infiltration anesthesia around the epidermoid cyst, and then using a surgical blade to cut the epidermis, and then the cyst can be peeled off.