Lipomas on the head are removed as early as possible, but they must also be judged according to the actual situation. It is not an emergency, but a slow diagnosis, and there is no such thing as a patient dying if left untreated for 1-2 days, so it also needs to be considered carefully. The vast majority of lipomas are benign, but malignant changes are not excluded, depending on the final pathology. If the lipoma is indeed a lipoma that grows relatively rapidly in a short period of time and breaks down on the surface, and if the patient has significant clinical symptoms that seriously affect daily life, it must be removed. If the patient is only occasionally found to grow for 10 or even 20 years without any special changes and does not affect daily life, it can be further observed conservatively first. All have pros and cons, and surgery also has certain risks, so careful consideration is more important.