The common reasons for the appearance of two lumps of flesh in the subcostal ribs clinically include the following three: 1, normal physiological conditions, mainly seen in obese patients, because of fat deposits and subcostal fat hypertrophy, through a healthy diet, weight loss and other symptomatic treatment, usually the symptoms can be alleviated or even disappear; 2, mainly seen in the appearance of bilateral lipomas under the ribs, the main clinical manifestations are painless, clear borders, good mobility of the masses, The main clinical manifestation is a painless, well-defined and mobile lump, which requires further ultrasound examination to make a clear diagnosis. If symptoms such as swelling, pain and discomfort occur, complete excision under local anesthesia can be considered; 3. If the symptoms are not obvious, no treatment is needed. If there is obvious pain or if malignancy is suspected, surgical excision is needed.