Objective To understand the dilemma faced by patients with recurrent hypertriglyceridemic acute pancreatitis in the process of lipid control, and to provide a reference for meeting the needs of patients. Methods Using a phenomenological research method, 15 patients with recurrent hypertriglyceridemic acute pancreatitis were interviewed in a semi-structured manner, and the interview data were analyzed using the Colaizzi seven-step analysis. Results Four themes were extracted: lack of disease-related knowledge (inadequate knowledge of the need for long-term control of lipids, misconceptions about medication, and misconceptions about regular monitoring), inadequate support systems (imbalance between home diet and healthy diet, difficulty in obtaining professional, practically guided information), social constraints (increased difficulty in control upon return to work, cost of medical visits affecting treatment monitoring), and long-term dietary restrictions exacerbate cravings for restricted diets. Conclusion Patients′ needs should be reasonably assessed to help them properly understand the disease and to guide them to actively seek solutions to poor lipid control in order to control lipid levels.