Some patients with uterine fibroids believe that a cesarean section is necessary for pregnancy with fibroids. In fact, vaginal delivery can be considered if the pregnancy is asymptomatic and generally does not affect fetal head descent and uterine recovery during delivery. The woman with fibroids can also give birth naturally, so there is no need to intervene urgently, and the fibroids will increase in size under the effect of high levels of estrogen and progesterone during pregnancy, and will gradually shrink after the recovery of hormone levels after delivery, so there is no need to blindly use cesarean delivery to “remove fibroids”. If the uterine fibroids are large and multiple, they may affect the fetal head descent, and a cesarean section with myomectomy may be considered at this time. Although most fibroids found during cesarean delivery can be removed, large fibroids near the uterine arteries, ureters, and interstitial tubules should be treated with caution. If done hastily, they may cause rupture of large blood vessels and damage to the ureters and fallopian tubes, which may not be worth the loss.