Can a 6cm fibroid be minimally invasive? This sentence refers to whether 6cm diameter fibroid can do laparoscopic myomectomy. 6cm fibroid can do the surgery only from the point of view of the size of fibroid, but whether it can do laparoscopic myomectomy also needs to consider the influence of doctor’s experience, the hospital’s laparoscopic equipment and the location of the fibroid growth. Laparoscopic myomectomy is generally applicable to subplasma fibroids, broad ligament fibroids or some intermural fibroids, and the number of fibroids should not be more than 4, the diameter of single fibroid should not be more than 10cm, and the diameter of multiple fibroids should not be more than 8cm. If the leiomyoma is too large or too many, laparoscopic surgery may result in prolonged operation time, increased blood loss, residual leiomyoma, poor suture, etc., leading to laparoscopic leiomyosarcoma excision intraoperative conversion to open abdomen. Therefore, a 6cm diameter leiomyoma is eligible for laparoscopic myomectomy in terms of leiomyoma size, but it should be combined with the number of leiomyomas and the location of leiomyoma growth. If the patient has obvious pelvic-abdominal adhesions, systemic diseases that cannot tolerate anesthesia, or excessive abdominal obesity resulting in insufficient space for surgical operation, laparoscopic leiomyomectomy can not be performed in general. If the patient is diagnosed with uterine fibroids and ready to undergo surgery, it is recommended to complete the relevant examinations to find out the size, number and location of the fibroids, and the attending doctor will give professional advice in light of the patient’s condition, and the patient should actively cooperate with the treatment.