A chalazion the size of a soybean is basically ineffective with conservative treatment and can only be surgically removed. Chalazion is a common and frequent disease in ophthalmology clinics, mostly in children and adolescents, and may be related to the endocrine function of the lid gland, also known clinically as a chalazion cyst. It is a chronic granulomatous inflammation of the glands of the lid, which contains secretions from the lid gland and inflammatory cells, and is covered with fibrous tissue. The manifestation is a painless mass that can be felt on the eyelid, is mobile, can be large or small, is not adherent to the skin, and can appear as a red or gray-red lesion on the conjunctival surface. If a chalazion is secondary to an infection, it is not easy to distinguish from a chalazion. In some cases, if not treated promptly, they break down from the skin surface or lid conjunctival surface and form mechanized granulomas or polyps. Small, asymptomatic chalazion cysts do not require treatment and can be treated by applying heat to allow them to absorb. Glucocorticoids can also be injected into the cyst. If conservative treatment is ineffective, surgical removal is required, during which the walls of the chalazion are removed as cleanly as possible to prevent recurrence.