Lipomas are benign fatty tumors which typically present as compressible masses below the level of the skin. In some instances they may be associated with pain. Some patients develop only a single lipoma while others with certain genetic predisposition may develop multiple lipomas. Malignant transformation is very rare and the decision for treatment is generally based upon appearance and discomfort. Treatment typically consists of surgical excision. Excision of smaller lipomas may be performed in the office under local anesthesia to keep costs down while treatment of very large lipomas may require a trip to the surgery center or hospital. While treatment with liposuction may be theoretically attractive because of the smaller incisions, liposuction is generally associated with a high recurrence rate and difficult second attempts at excision and is generally frowned upon. Dr. Fremling has been providing the surgical treatment of lipomas for over 20 years.