Hepatic vascular smooth muscle lipoma, a benign tumor of the liver containing adipose tissue, includes three tissue components: smooth muscle, blood vessels, and mature adipocytes. There are usually no obvious symptoms. When the tumor increases in size, it can manifest as pain, discomfort, etc. in the right upper abdomen. It is usually treated mainly by surgery, or interventional embolization. Surgery is the most effective treatment method with better results. There is no report of recurrence after surgery. It may also be beneficial to pay attention to the combination of work and rest in daily life, to ensure sufficient sleep; to participate in physical exercise appropriately; and to avoid strenuous activities and heavy physical labor. In addition, after the surgery, you need to review regularly, and if there is any discomfort, you need to consult the doctor at any time.