Lacke’s cysts in the saddle area usually do not require special treatment if they are small and asymptomatic, and regular follow-up is sufficient. If symptoms develop, surgery is recommended. The incidence of Lacke’s cyst in the saddle region is low, also called pituitary cyst, which is a congenital disease, and developmental abnormalities have a certain relationship with a small number of saddle region Lacke’s cysts are small and have no obvious clinical symptoms, this situation does not require special treatment, and it is recommended that regular follow-up. If the saddle area Lacke’s cyst is large, it will cause compression symptoms, the most important manifestations are headache, loss of libido and urinary abnormalities. For symptomatic cysts, surgical treatment is needed. The wall of the cyst can be removed surgically, and in addition, the cystic fluid inside needs to be sucked out, and in order to avoid recurrence, the wall of the cyst should be completely removed as much as possible. Patients with Lacke’s cyst in the saddle area should seek medical treatment in time, and actively treat under the guidance of the doctor, so as to avoid delaying the condition.