Intrahepatic hypoechoic nodules can be removed, but most of them do not need to be removed. Intrahepatic hypoechoic nodules need to improve CT, alpha-fetoprotein, biopsy and other related examinations. If the tumor is malignant, it can be surgically resected if there are surgical indications, including partial hepatectomy, segmental hepatectomy, hemihepatectomy, caudate lobectomy and so on. Those who are inoperable can be treated with drugs such as sorafenib, lenvatinib and other targeted drugs, in addition to interventional therapy and other methods. Not all intrahepatic hypoechoic nodules need to be removed. Most of them may be benign, and if they are diagnosed as benign lesions, such as hepatic cysts, hepatic hemangiomas, etc., they do not need to be treated if they are asymptomatic. If hyperechoic nodules are found in the liver, it is necessary to consult a doctor and choose the most suitable treatment according to the specific situation under the guidance of the doctor.