Small pits on women’s scalp may be caused by scarring, skull fracture and other factors, which can be treated by general treatment, medication (e.g. silicone gel) and surgery. 1. Scarring: depressed scar tissue may form after healing from trauma, which can be left untreated when there are no obvious symptoms, and can also be treated with medication such as silicone gel and tretinoin; it can also be excised and then sutured by this surgery, which promotes the regeneration of tissues in the location of the lesion. 2. Skull fracture: the condition may lead to depressed lesions in the skull, resulting in small pits on the scalp, which can be left untreated and attended to; the need for surgical treatment should be evaluated by a surgeon. There are many factors that can lead to small pits on the scalp in women, and patients are advised to seek prompt medical attention and treatment.