When should I consider referring a patient with a lipoma for surgical evaluation?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed

Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Consider referring a patient with a lipoma for surgical evaluation if:

There is recurrent infection associated with the lipoma.
The diagnosis is uncertain or the lump has concerning features such as rapid growth, pain, or changes in the skin overlying the lump.
The lump causes symptoms such as compression or functional impairment.

Otherwise, if a benign lipoma can be confidently diagnosed and is asymptomatic, reassurance and no further action are usually appropriate.

Key References