Vestibular gland cysts are cystic swellings formed by the accumulation of secretions in the lumen of the vestibular ducts due to obstruction at the opening of the vestibular ducts. There are three reasons for the obstruction of the vestibular duct: 1. After the abscess of the vestibular gland has subsided, the duct is obstructed and the pus is absorbed and replaced by mucus secretions. 2, congenital narrowing of the ducts or thick mucus in the lumen of the gland and poor discharge of secretions resulting in cyst formation. 3, damage to the vestibular canal, such as scar obstruction of the glandular canal after perineal and vaginal laceration during childbirth, or damage to the glandular canal by lateral perineal incision. Vestibular gland cysts are mostly unilateral, but can also be bilateral. If the cysts are small and there is no acute infection, the patient usually has no conscious symptoms and they are often detected during gynecological examination. If the cysts are large, you may feel vulvar swelling or discomfort during sexual intercourse. During gynecological examination, the affected side of the vestibular fossa can be seen to be enlarged and a painless cystic mass, mostly round with clear borders, can be palpated in the lower posterior part of the vulva. Treatment is divided into medication and surgery. Medication can be divided into oral herbal medicine to clear heat and detoxify the toxin, or local sitz bath to maintain local cleanliness and hygiene. Asymptomatic vestibular gland cysts can be followed up and observed. For larger vestibular gland cysts or those with recurrent attacks, cystostomy can be performed. Cystostomy is a simple method with less damage, and the function of the gland can be preserved after surgery, so it is the most used procedure nowadays.