The incidence of lipomas is increasing and is receiving more attention. Why do people develop lipomas? Too much food, too greasy; too much stress, irritability, endocrine disorders; bad habits such as staying up late at night are the main culprits. One of my patients had more than 30 lipomas all over her body and came to me every once in a while to have 2-3 of them cut. This shows that lipomas can cause discomfort, mainly pain or soreness when they are large enough to compress the surrounding nerves. For lipomas that affect the quality of life, surgical removal is an option for both general surgery and plastic surgery, with plastic surgery focusing more on microscopy and scarring for those who are concerned about appearance. Most lipomas can be treated in one visit with the envelope intact, but some have the potential for recurrence, so more fatty tissue can be removed during excision to help patients “slim down” for free? Lipomas have a very low malignancy rate, but need to be differentiated from malignant liposarcoma, which is usually not enveloped and poorly demarcated, and needs to be characterized by pathological examination. In this era where there is no shortage of food to eat, or where material life is abundant, I hope you will exercise more, live a refined life, keep your body and mind slim, and embrace a beautiful future time.