Whether large nipples need surgery or not mainly depends on what causes large nipples. For large nipples caused by malignant tumors, surgery is usually needed, while those caused by other reasons may not need surgery. Large nipples may be a physiological phenomenon, if both sides of the nipples are basically the same size, no discomfort symptoms, usually do not need special treatment. Regular cleaning of the nipples in daily life, maintaining breast hygiene, controlling diet, reducing intake of hormonal foods and controlling body weight are sufficient. Large nipples are accompanied by pain, swelling and other symptoms, do not rule out with mastitis, breast hyperplasia, breast tumor, systemic diseases, etc., then you need to go to the regular hospital in time, if it is caused by malignant tumors of the mammary glands, you need to surgical resection. It is recommended that people with large nipples should consult a doctor in time and follow the doctor’s advice to choose the appropriate treatment.