<s>[INST] hi doctor. i am jyoti from india. age 20. In my head has a granuloma about 20mm diameter in leftside, when i check-up with a doctor he said that to do surgery operation.... doctor i want to know if there are any treatment without operation?? and if the operation is should done how much its cost??? [/INST] Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No there is no need to take it done by surgery. We first have to search for the cause responsible for the granuloma. There are many reasons for granuloma to occur.e.g. TB can cause granuloma. So in this case treating the TB can cure the granuloma. I advise you to do microscopic examination of the material conning out of the granuloma. Once the report available you can get the treatment of the cause done. Please maintain the hygiene by cleanliness and Chat Doctor. I will be happy to answer your further concern on bit.ly/ </s>