The treatment of pituitary cysts in children needs to be based on the size of the cyst, endocrine effects and other comprehensive consideration of the choice of treatment options, there is no such thing as the best method. Generally speaking, small cysts with no compression or endocrine function often require observation and no special treatment; large cysts with compression or endocrine function often require surgical resection. 1. Size of pituitary cysts: Generally, pituitary cysts in children are relatively small and do not cause very serious compression to patients, in which case observation is the main concern. If the cyst is relatively large and exerts significant pressure on the surrounding normal pituitary tissue, surgical treatment is required. For example, transnasal butterfly approach pituitary cyst excision surgery. 2. Impact on the endocrine system: Generally speaking, if the pituitary cyst has no special impact on the endocrine system, there is no need for special treatment, and regular follow-up is all that is needed. However, if it has obvious effect on endocrine, or even interferes with normal growth and development, surgical treatment is needed. 3. Overall status: If the child is only found to have a pituitary cyst, there are no special clinical symptoms, and it does not affect daily life, then observation is the main focus. If it does cause obvious discomfort to the child, affecting normal growth and development, and affecting daily life, then the corresponding surgical treatment should be carried out. The emergence of such diseases, it is necessary to consult a doctor in a timely manner, comprehensive evaluation, in order to find the best treatment plan.