If you want to eliminate a lipoma, it generally requires surgical removal of the lipoma in its entirety. Lipomas are more likely to occur in subcutaneous fat or within muscle tissue. For small, asymptomatic lipomas, surgery is usually not necessary; however, if the lipoma enlarges, causes local compression symptoms, local pain, or if there is a significant increase in size in a short period, surgical removal can be considered, and most can be removed under local anesthesia. If the lipoma is on the back, due to prolonged compression, the difficulty of the surgery may be slightly increased.