The necessity of surgery for lipomas depends on their location. Lipomas are commonly found on the limbs. Whether surgery is needed depends on the size, location, and impact of the lipoma on the body. Surgery is generally recommended for lipomas that are particularly large or symptomatic. The surgical procedure involves excision followed by a pathological examination, as there is still a possibility that some lipomas could be liposarcomas, especially when located on the limbs, where such cases are more common. Therefore, for lipomas with significant symptoms and prominent manifestation, surgical removal is usually advised.