Different methods such as open resection, root or tip resection, internal capsule removal, and external capsule debridement can be chosen according to the different sizes of liver cysts as well as symptoms. In the case of large simple hepatic cysts with symptoms, in addition to puncture and aspiration, laparoscopic opening or decapitation, the intracapsular fluid can also be aspirated under cesarean section, and the cyst wall can be inactivated by alcohol or open resection to the abdominal cavity by argon knife. Cysts located in the hepatic margins or protruding into the abdominal cavity with the tip, can be directly clamped from the root or tip, cystectomy, the operation is relatively simple. Hepatic encapsulated cysts can be removed by endocyst removal and complete exfoliation of the external capsule, both of which should be sterilized with benzimidazole agent preoperatively. The former is less invasive, with complications such as residual biliary fistula, recurrence and disseminated implantation; the latter avoids cystic fluid spillage and postoperative biliary fistula. Patients with hepatic cysts should be reviewed and regulated to seek medical attention when surgery is needed to minimize risks and complications.