Café-au-lait spots on the inner thighs can be treated by physical therapy, but in some cases, no treatment is needed. Usually, for patients who find coffee spots affecting their aesthetics, physical measures such as intense pulsed light, Q laser and cryotherapy can be considered, which can lighten the coffee spots to a certain extent, but there may be adverse reactions related to hyperpigmentation and skin color abnormality. After physical therapy, patients should pay attention to sun protection, reduce exposure to ultraviolet rays and protect the lesions when going out. Diet needs to reduce spicy and stimulating food, but also to quit smoking and alcohol, and need to develop good habits, pay attention to rest, do not stay up late. Besides, some patients can choose not to have treatment under the premise that they do not feel coffee spots affect their aesthetics. It is also related to other systemic diseases, such as neurofibroma. Therefore, it is recommended that patients need to go to the regular hospital in time to consult with a specialist doctor for a clear diagnosis, standardized treatment, so as not to delay the condition, zao cheng bu liang hou guo