In women, a painful lump at the vulva is usually due to an abscess of the vestibular gland. Vestibular gland abscesses are mixed bacterial infections that occur when pathogens invade the glandular ducts, and the opening of the ducts is often blocked by swelling or secretions, and the secretions accumulate and cannot drain out of the gland. Vestibular gland abscess is acute, mostly one-sided, can be accompanied by swelling, pain, burning sensation, gynecological examination can be seen in the local skin redness and swelling, obvious pressure pain, the vestibular gland has a swollen mass, a small number of patients can also appear fever and other systemic symptoms, the diagnosis of vestibular gland abscess is not difficult. Vestibular gland abscess needs to be incised and drained as early as possible to relieve pain, and combined with the use of antibiotic anti-inflammatory treatment.