There are three main surgical methods for multiple fibroids: excision of fibroids, subtotal hysterectomy, and total hysterectomy. The details are as follows: 1. Rejection of fibroids: This means that the uterus is not removed and only the fibroids are dug out. This type of surgery is suitable for patients who are young, have fertility needs, or are very resistant to hysterectomy. However, because the uterus is to be preserved, there is a risk of recurrence after surgery. If the number of fibroids removed is relatively large and the number of incisions on the surface of the uterus is large, there will be relatively more bleeding during the surgery. 2. Subtotal hysterectomy: This means that the body of the uterus is removed, but the cervix is preserved. If the cervix is preserved after the surgery, it is necessary to go for regular cervical cancer screening to prevent the occurrence of cervical lesions; 3. Total hysterectomy: It means that the uterus and cervix are completely removed. It is usually suitable for patients who are older and have no need to have children, especially those who wish not to have a recurrence. All three can be done openly, laparoscopically, or transvaginally hysteroscopically. The hospital should be equipped accordingly, depending on the equipment, the surgeon’s surgical ability, the patient’s needs, and the size of the fibroid in order to decide which procedure to choose.