Whether uterine fibroids 4.8cm X 4.7cm need to be operated or not is judged according to the severity of the condition. If the patient’s uterine fibroids cause anemia, pressure symptoms and other discomforts, it is necessary to be operated; if the patient’s age is close to the menopause and there is no physical discomforts, the patient can be conservatively treated and followed up for observation. 1. Surgery: the indication of uterine fibroid surgery is 5cm in size, the patient’s uterine fibroid is 4.8cm X 4.7cm, which is still relatively large, such as causing irregular menstruation, anemia, pressure symptoms and other discomforts, so no matter the size of the uterine fibroid, it is still necessary to do the surgery, and the commonly used surgical method is minimally invasive surgery to treat the uterine fibroids. 2. Conservative treatment: most of the fibroids are benign, if the patient is close to menopause and has no physical discomfort, he/she may not consider surgery for the time being, and may take oral mifepristone and other medications, and then have regular ultrasound checkups, and follow up in time when there is any abnormality. Uterine fibroids are the most common benign tumors of the female reproductive organs, but it is recommended to do regular follow-up, such as increased menstrual flow, anemia and other physical discomfort, or timely treatment.