Osteofibroma, also known as non-ossifying fibroma, is treated primarily with surgery. Asymptomatic non-ossifying fibromas do not require treatment. For lesions found by chance, careful observation and regular follow-up are sufficient. For small lesions, the lesions may heal on their own, and can be reviewed regularly, or can simply be surgically scraped without bone grafting. For larger lesions, if the lesion extends and invades into the medullary cavity and is combined with pathological fracture, or if the lesion is developing and expanding and has a tendency to fracture, surgical resection can be chosen, such as surgical bone grafting, and the prognosis is generally good. If the osteofibroma grows abnormally or the condition aggravates progressively, it is necessary to go to the hospital in time, improve the examination, and standardize the treatment under the doctor’s guidance.