The most common cause of vague pain underneath the ribs on both sides may be costochondritis, which is not caused by an infection but is a non-specific form of costochondritis. In addition to presenting as a vague pain underneath the ribs on both sides, the pain may worsen with deep inhalation, coughing, or during upper extremity activities. If it is costochondritis, the treatment should pay attention to avoid cold, can be localized hot compresses, avoid strenuous exercise, can be used locally some non-steroidal painkillers. Hidden pain below the ribs on both sides, in addition to costochondritis, may also be caused by some other systemic lesions, such as gastrointestinal lesions of the digestive system, gastrointestinal inflammation, may also be manifested as a hidden pain below the ribs on both sides, that is, atypical abdominal pain. In addition, both sides of the ribs below the liver, spleen and other organs, if the liver, spleen lesions, may also be manifested in both sides of the ribs below the hidden pain.