Inguinal cysts usually require surgery to remove. Inguinal cysts are usually cystic masses in the inguinal area with a peritoneum and water inside, and need to be differentiated from inguinal hernias. If it is an inguinal hernia, the mass is usually soft, the mass can enter the abdominal cavity when pressed by hand, and there is a defect in the inguinal region, through which the abdominal contents enter the subcutaneous formation of the mass. The cyst cannot enter the abdominal cavity when pressed and does not cause pain, it is a benign disease. Surgery is usually performed under local anesthesia, with lidocaine under the skin, and then the skin is incised along the skin line to locate the cyst and remove it completely. If the cyst is very deep, continuous epidural anesthesia may be needed, because local anesthesia may cause more pain in the wound and lead to incomplete removal of the cyst.