Uterine fibroids need surgery if they have the following conditions: 1. Symptomatic fibroids: (1) Patients with fibroids cause heavy menstrual flow and long periods. Long-term menstrual blood loss can lead to secondary anemia and even anemic heart disease, and in severe cases, symptoms such as general weakness, pallor, shortness of breath and panic. (2) Myoma compressing pelvic organs may cause symptoms such as urinary urgency, frequent urination and even difficulty in urination; rectal irritation and even difficulty in defecation due to compression of rectum; low position of myoma or cervical myoma or broad ligament myoma may cause ureteral and renal pelvis fluid accumulation due to compression of ureter. Generally speaking, surgery should be considered once cervical fibroids, broad ligament fibroids and submucosal fibroids are detected. 2.Suspected malignant change of fibroids: The chance of malignant change of fibroids is very small, the incidence is 0.4-0.8%. Mostly seen in those with large and fast growing fibroids, especially if the fibroids are growing rapidly after menopause or appear again after menopause, you should be more alert. 3, subplasma myoma twist: often manifested as acute lower abdominal pain, if not timely surgery, can be twisted necrosis of the myoma can be secondary to infection, serious cases of infectious shock, but also secondary to intestinal adhesions, intestinal obstruction, etc.. 4, fibroids cause infertility: because of the uterine horn fibroids press the entrance of the fallopian tube, preventing conception, in addition to fibroids patients are often accompanied by ovarian dysfunction resulting in infertility. Uterine fibroids distort the uterus and prevent the fertilization of eggs, and also affect the proliferation of the endometrium, which may cause miscarriage even if the embryo is laid, because of the presence of fibroids. If a woman with fibroids is infertile and all other tests are normal, the cause of infertility may be fibroids. If fibroids are suspected to cause infertility, timely surgery should be performed. 5.When fibroids are not easily distinguished from ovarian tumors: sometimes, whether from clinical symptoms, physical examination or auxiliary examinations such as ultrasound, it is not possible to distinguish between fibroids and ovarian tumors, timely surgery is needed. 6. When the diameter of a single fibroid reaches 5 cm or more, or when the uterus of a fibroid patient increases beyond the size of the uterus at 10 weeks of pregnancy, it is important not to talk about “tumors”, but to take appropriate measures under the guidance of a doctor and to operate promptly when there is an indication for surgery.