At the end of 2012, a 32-year-old man with recurrent epigastric distension and pain for more than 6 months had been seen in several hospitals, and was found to have a left hepatic hemangioma with a maximum diameter of 8.5 cm, which compressed the stomach and caused distension and painful symptoms and had interfered with eating, after CT and MRI examinations. (Analysis: Hepatic hemangioma is a relatively common benign tumor, mostly found during health checkups. There is no evidence that they have malignant potential, but they can occasionally be confused with other malignant tumors of the liver leading to misdiagnosis. Small hemangiomas are mostly asymptomatic, but when they are larger than 5 cm in diameter, they may present with nonspecific abdominal symptoms such as “vague pain and discomfort in the right upper abdomen, loss of appetite, and symptoms of pressure on adjacent organs”. (abnormal coagulation). However, the patient had been hesitant to undergo surgery because he was worried about the unsightly scar left on his abdomen after surgery, and he was also worried about the long hospital stay and slow recovery after surgery due to his busy work schedule. (Analysis: Traditional surgical methods for hepatic hemangioma generally include hepatic segmental or lobectomy, hemangioma debridement, suture ligation, hepatic artery ligation, etc. Since the liver is deeply hidden under the right side of the rib cage, a large subcostal incision or reverse “L” incision of about 25-30 cm in length is required to expose the liver to the surgeon’s view, and incisional trauma is the main source of postoperative pain. The average length of stay in the hospital after surgery is 7 to 9 days while waiting for the incision to heal and the stitches to be removed, and the average length of stay in the hospital is 12 to 14 days with preoperative preparation. (These are the reasons why this patient and many others in similar situation feel afraid and cannot make up their mind about the surgery.) After the patient was seen in our department, detailed imaging examination and preoperative preparation were conducted, and the general surgeon discussed and concluded that the patient’s hemangioma was mainly located in the left outer lobe of the liver, with an exophytic growth of more than 5 cm in diameter, and it had already compressed the stomach body. Therefore, the indication for surgery is clear, and it is not difficult to remove it by traditional open surgery. However, for benign tumors such as hemangioma, we should not only consider how to remove the lesion, but also consider reducing the trauma, shortening the hospital stay, and improving the quality of life of the patient as much as possible. Therefore, we decided to choose laparoscopic hepatectomy as the surgical method. After a series of preoperative preparations, the operation was completed successfully in 1.5 hours with a total bleeding volume of less than 50 ml. The patient ate and got out of bed on the first day after surgery, and was discharged on the fifth day with a satisfied smile, with only a few small scars of about 1 cm on the abdominal wall that were hard to see without attention. (Analysis: Laparoscopic techniques have been used in gastrointestinal surgery, gynecology and urology for many years and are familiar to everyone. However, the application of laparoscopic techniques in the field of liver surgery has also been developed for more than 10 years, but not much is known to the general public. (Like other laparoscopic procedures, laparoscopic hepatectomy has many advantages such as less trauma, beautiful incision, faster recovery, shorter hospital stay, less postoperative pain, less adhesion formation, etc. It is especially suitable for those who are afraid of surgical pain and worried about affecting the aesthetics, and is also a minimally invasive surgical approach more readily accepted by young patients)