The specific cause of back lipoma is not very clear, it may be related to genetic factors, as well as abnormal proliferation and differentiation of adipose tissue, which is a benign tumor. It is a benign tumor, which requires different treatment measures according to different situations, including observation, surgery and so on. 1. Observation: If the lipoma on the back does not compress local nerves or other organs, there is no need for special treatment, and regular checkups and observation will be enough. 2. Surgery: If the size of back lipoma is large, pressing local nerves or causing pain affecting physiological function, it can be treated by surgery and other measures, generally lipoma excision and other measures. Only surgical resection can treat lipoma, and any medication and other therapeutic measures are ineffective. Lipoma of the back has no uncomfortable symptoms, regular review, there is discomfort should be timely medical treatment, the specific treatment plan should also follow the doctor’s advice to choose.