Whether or not minimally invasive surgery can be performed for abnormal uterine bleeding depends on the specific cause. If the abnormal uterine bleeding is due to endometrial polyps, fibroids, ovarian tumors, endometriosis, or adenomyosis, minimally invasive surgery may be appropriate, depending on the patient’s condition. There are many causes of abnormal uterine bleeding. Examples include endometrial polyps, fibroids, ovarian tumors, endometriosis, adenomyosis, endometrial cancer, and disorders of the blood clotting system. Endometrial polyps usually originate from the endometrial layer, and may appear singly or in multiple cases. Clinical manifestations of endometrial polyps mainly include irregular menstruation and vaginal bleeding, which can be treated with minimally invasive surgery, i.e., removal of polyps under hysteroscopy. Uterine fibroids, ovarian tumors, endometriosis, adenomyosis, endometrial cancer, etc. can also be treated by minimally invasive treatment, and the details need to be combined with the patient’s personal situation. However, if there is endometrial cancer, multiple severe fibroids or combined with coagulation disorders, it cannot be treated by minimally invasive surgery.