Fat above my butt on lower back. Do I need surgery to remove it? (Photo)

Thank you gigimcfalls for your question.  Liposuction typically works well in this area to help reduce the fat and smooth out the area.  It may be able to be done under local anesthetic or even a light anesthesia, depending on if there are any other area's you were considering.  Consult your provider to make sure you are a proper candidate for the procedure and to answer any additional questions.  

You appear to be in good shape.  You don't NEED anything done, but if you WANT something done, some mini-liposuction in my experience works well, usually with local anesthesia in the office in my opinion.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.