Patients with uterine fibroids can consider preserving the uterus if they have the following conditions: 1) endometrial malignancy or myoma malignancy has been ruled out and they have fertility requirements; 2) the patient has the will to preserve the uterus. Second, what are the surgical methods to preserve the uterus for myomectomy? There are open surgery for uterine fibroid removal and minimally invasive myomectomy for uterus preservation. Minimally invasive myomectomy includes laparoscopic myomectomy, hysteroscopic myomectomy, and negative myomectomy. 1.Laparoscopic myomectomy: It can be evaluated based on the number, size, location, type of fibroids and the operator’s proficiency to determine whether laparoscopic surgery can be performed. It requires high surgical skills and suturing techniques. 2.Transvaginal myomectomy: In addition to the removal of submucosal fibroids with tissues, patients with fibroids, who require the preservation of the uterus, can also choose to undergo a cathodic myomectomy if the indications are well chosen. 3.Hysteroscopic myomectomy: Any symptomatic submucosal and interstitial myoma can be considered for hysteroscopic surgery. 4, abdominal myomectomy: it is a more classical surgical procedure that can be performed for all patients with fibroids who have indications for surgery and need or require preservation of the uterus. All three minimally invasive myomectomies (laparoscopic, hysteroscopic, and cathodic myomectomy) have common features such as good surgical results, less trauma, and fast postoperative recovery. Minimally invasive meets the requirements of the majority of patients, but in clinical practice, the appropriate surgical approach needs to be adopted according to the size of the tumor and the location of the tumor.