The small hill of the shoulder is generally associated with heredity, tendon sheath cysts, and lipomas. It is not recommended that patients dispose of them on their own and rub them blindly to avoid aggravating the condition, and they should be treated according to the symptoms and etiology under the guidance of a doctor.1. Heredity: this condition exists when the patient is born, there are no uncomfortable symptoms, and there is no abnormality in imaging and ultrasound, so there is no need for special treatment. If the patient feels that it affects the aesthetics very much, surgery can be performed to remove it; 2, tendon sheath cysts: tendon sheath cysts are often found on the dorsal side of the wrist, and they can also be found on the shoulder, which can be injected by puncture and treated with surgery if necessary; 3, lipoma: if it is a lipoma or a fibro-lipoma, it may be soft in texture, sometimes irregular in shape and without pressure pain, and its boundaries are clearer, and it can be removed by surgery. Patients should maintain good working and living habits, avoid overwork, and strengthen shoulder and neck muscle exercise. Lipoma patients should also be careful to eat greasy, spicy, stimulating food, strengthen diet and nutrition, improve immunity.