A medium-sized mandibular torus usually does not require surgical removal unless it interferes significantly with denture stability or causes ulceration. The best management is relieving the denture base over the torus to avoid pressure and discomfort. This approach preserves the bony growth, prevents unnecessary surgery, and maintains mucosal health. Surgical excision is reserved for large tori causing prosthetic problems. Proper relief ensures the denture fits comfortably without traumatizing the mucosa over the torus.

Reference: Prosthodontics: Principles and Management Strategies, Deepak Nallaswamy, 3rd Edition.