Adenomyosis refers to the growth of endometrium in the myometrium, which often causes secondary progressive dysmenorrhea, increased menstrual flow, ineffective pain medication in severe dysmenorrhea, affecting work and life, and infertility or miscarriage in young patients. Adenomyosis is divided into diffuse adenomyosis and limited adenomyosis (i.e. adenomyoma) according to the extent of the lesion, and the treatment is based on age, dysmenorrhea and the extent of the lesion. 1.Medication: For young patients with unremarkable dysmenorrhea, diffuse adenomyosis is usually treated with medication, such as general anti-inflammatory and pain-relieving drugs, and if they are not effective, short-acting oral contraceptives, such as mafetilone or mifepristone, can be applied. 2.Menstrual ring treatment: It is suitable for diffuse adenomyosis whose uterus size does not exceed the size of 10 weeks’ gestation, which can significantly improve dysmenorrhea and increased menstrual flow. 3.Uterine adenomyoma resection: It is suitable for limited adenomyosis, i.e. adenomyoma, where drug treatment is ineffective or menstrual flow is significantly increased. I have performed 120 cases of this type of surgery and the current follow-up has shown significant improvement in dysmenorrhea and menstrual flow, and the earliest patient has not had a recurrence 2 years after surgery. Since this type of surgery requires too much laparoscopic technique for the surgeon, those who cannot reach the condition can choose open surgery to remove adenomyoma. 4.Uterosacral ligament nerve block: It is suitable for patients younger than 45 years old who want to preserve the uterus. The results are better when done laparoscopically. 5, hysterectomy: the above treatment is ineffective or age more than 45 years old or unwilling to retain the uterus can choose radical surgery that is to remove the uterus, can choose minimally invasive surgery to complete, to negative or laparoscopic surgery is appropriate, I prefer laparoscopic surgery, can be together with the exploration of other pelvic lesions such as endometriosis.