Liver cysts of 20 centimeters is a more serious condition, and it is recommended to undergo surgical treatment as soon as possible. Most liver cysts are congenital and benign, while a few are acquired and related to parasitic infection, inflammation and trauma. Liver cysts that do not have compression symptoms generally do not need treatment, but liver cysts that are more than 5 centimeters in size need to be treated with surgery. Liver cysts of 20 centimeters are large cysts, which will cause pressure on the heart, stomach, etc., and liver function will also be affected. If not treated effectively, nausea and vomiting may occur, thus affecting normal work and life. In case of external impact, it may lead to rupture of the cyst, which can be life-threatening. Liver cysts can be treated with minimally invasive surgery through laparoscopy, or interventional surgery to extract the fluid from the cyst and inject anhydrous alcohol for sclerotherapy. If you have a liver cyst of 20 centimeters, you should go to the hospital in time to avoid the danger.