The experience with endoscopic-assisted transaxillary extraction of lipomas on the upper back and shoulder region in 10 patients is reported. This technique enables tumor removal through a short skin incision placed in an inconspicuous region. In addition, hemostasis and complete removal of gross tumor are confirmed by endoscopic visualization. No complications or recurrences have been observed over a follow-up period of up to 2 years. The results were cosmetically satisfactory.