Pituitary cysts are benign masses that usually do not disappear on their own. Pituitary cysts grow slowly, but when they grow to a certain extent, they will compress the surrounding brain tissues, blood vessels and nerves. Whether or not to perform surgery should be considered comprehensively according to the size of the cyst and the clinical symptoms caused by the cyst. If the cyst is small and has no clinical symptoms or only occasional mild headache symptoms, but it has no effect on daily life, it usually does not need treatment, pay attention to follow-up and review the cranial CT or MRI examination on a regular basis; if the cyst is relatively large and there is a mild headache or a slight decrease in pituitary endocrine function, treatment is needed, such as the use of pain-relieving drugs, hormone supplementation, etc.; if the cyst further increases in size and When there are obvious symptoms of headache, vision loss and decreased pituitary hormone level, surgery is recommended. Pituitary cysts can be treated by transnasal minimally invasive surgery, which is a mature procedure with less risk, less trauma, faster recovery, and no craniotomy, and it is recommended to visit the neurosurgery department.