Many patients with uterine fibroids, upon learning that they need surgery, want to choose the least damaging surgical option. However, the choice of surgical method cannot be transferred entirely by the patient’s wishes, but should be considered in conjunction with the patient’s age, whether she has fertility requirements, the number and growth location of fibroids, and whether other diseases (such as adenomyosis) are combined. At present, there are two common types of fibroid surgery: 1. Myomectomy: Myomectomy is an operation to preserve the uterus and is suitable for young patients who have not yet had children and need to preserve their reproductive function. Some patients who do not require fertility but have a strong desire to preserve the uterus and have a small number of fibroids can also be considered for myomectomy. The advantage of myomectomy is that it is less traumatic and the uterus and cervix are intact, so it does not affect fertility and sex life, but it is relatively easy to recur. 2. Hysterectomy: (1) Total hysterectomy (removal of uterus and cervix) If the patient has symptoms such as menstrual changes, anemia and pressure, but no fertility requirements, then if the myoma is larger than 250px cm or the number is more than 4, or if malignancy is suspected, total hysterectomy should be done. In this case, if the fibroids are larger than 250px cm, or if the number is more than 4, or if malignancy is suspected, total hysterectomy should be performed. If these patients opt for myomectomy or sub-total hysterectomy, they may be at risk for recurrence of fibroids and cancer of the cervical stump later. The advantage of total hysterectomy is that it eliminates the possibility of myoma recurrence and avoids the occurrence of cancer of the cervical stump, but the blood circulation of the ovaries may be affected and prolapse of the vagina or rectum may occur after the supporting structure of the pelvic floor is damaged. (2) Subtotal hysterectomy (removal of the uterus but preservation of the cervix) Subtotal hysterectomy is indicated for patients who have excluded cervical lesions and whose condition is complicated (e.g. severe pelvic adhesions) and who have difficulty in removing the cervix. Although subtotal hysterectomy preserves the integrity of the pelvic floor and can avoid or reduce the occurrence of postoperative prolapse, the preserved cervix still has the possibility of pathology, such as cervical stump myoma and cervical stump cancer. Some surveys have shown that hysterectomy has no significant effect on ovarian function and sexual life of women, and the patient’s psychological sense of absence is instead what needs to be adjusted after surgery.