The aim of the study was to compare lipectomy and endoscopically assisted lipectomy. In a group of 32 patients with cytologically verified lipoma, 16 patients underwent classic lipectomy and endoscopically assisted lipectomy each. At 12-month follow up, there was no difference in the number of lipoma recurrences between the two techniques. Endoscopically assisted lipectomy proved to be a safe method with excellent cosmetic result and shorter recovery period for patients at the same risk of recurrent lipomas.