Lipomas on the head are very common in clinical practice and should be removed surgically if possible. However, it must be clear that surgery carries certain risks and is not suitable for all cases. If the lipoma is relatively small, it does not affect the appearance and does not produce obvious clinical symptoms and can be temporarily observed. Because the head has hair, it can rarely affect the appearance directly and produce significant discomfort. Unless at a later stage the lipoma is relatively large or increases rapidly in a short period of time, the possibility of malignant transformation is suspected, at which time surgery is necessary. Therefore, it is important to make a judgment based on the actual situation, and pathological tests must be performed after the surgery to clarify whether it is benign or malignant. Although the vast majority are benign, there are occasional cases of malignancy. If the diagnosis is not confirmed in time, it will be more detrimental to the patient.