Hemangioma on the liver, or hepatic hemangioma, is a common benign tumor. The radical solution is surgical removal, but whether surgery is needed depends on the size, growth rate, location of the hemangioma, as well as the patient’s wishes and personal situation. Most hemangiomas are small in size and grow very slowly, so they do not require surgery. When patients do not show obvious symptoms, clinical observation and regular ultrasound examination are sufficient. A small number of patients with large, fast-growing, symptomatic hemangiomas that may rupture can be surgically resected. Laparoscopic hepatic hemangioma resection is commonly used in clinical practice, and the indications for surgery mainly include rapid growth of hemangioma, hemangioma diameter >10cm, hemangioma diameter less than 10cm but with obvious clinical symptoms, and hemangioma located at the liver margin with risk of traumatic rupture or already ruptured. The main treatment modalities include laparoscopic hepatic hemangioma dissection, puncture sclerosis, hepatic artery embolization and ablation. Laparoscopic hepatic hemangioma debulking, which involves the use of a lumpectomy technique and an ultrasonic knife to debulk the tumor, is the most common and direct treatment for hemangiomas. The other treatment modalities are mainly to destroy the endothelial cells of blood vessels and block the blood supply to the hemangioma, thus causing the tumor to shrink and achieve the treatment purpose. Patients with hepatic hemangioma who have not yet undergone surgery should strengthen their own protection to avoid impact and pressure on the abdomen to avoid rupture of the hepatic hemangioma.