Nosu surgery is a newer surgical method gradually introduced to China from abroad in recent years, and is now carried out in many tertiary hospitals in Beijing. Even though this procedure has not been performed for a long time, it has fully replaced endometrial electrosurgery because it is simpler, less risky, and has better postoperative hemostasis. According to the literature, the proportion of reduction of menstruation after Nosur surgery reaches 90%, and the rate of amenorrhea can reach 50%, which is very satisfactory to clinicians and patients, our gynecology department has managed to treat dozens of patients who chose Nosur surgery since 2012, including excessive menstruation caused by fibroids and adenomyosis; excessive menstruation caused by endocrine causes of menopause; endometrial polyp and submucosal myoma Almost all patients have significantly reduced their menstruation compared with the preoperative period, and many of them are “out of poverty”, but I have to say that the treatment effect for adenomyosis patients is not very satisfactory, I have discussed this problem with the director of People’s Hospital Ruan Xiangyan, Ruan Director believes that for adenomyosis patients should not only be strictly screened for indications, post-surgery placement of the Manuelle intrauterine device can also significantly improve the therapeutic effect of surgery. At present, the surgical device has not been included in the medical insurance reimbursable category, so the operation still has some limitations in the economy, I hope to solve this problem as soon as possible.