If the fibroids in an elderly person are benign and begin to shrink and become smaller, it is possible to skip a total hysterectomy. However, if the fibroids have a tendency to become malignant, they should be treated aggressively. Since fibroid is a hormone-dependent disease, the elderly have low hormone content due to menopause, and the fibroid may shrink and become smaller on its own without hormone stimulation, then total hysterectomy can be avoided. However, if the fibroids have malignant tendency, such as the gradual increase in size or the appearance of new fibroids, they should be actively handled and treated. Whether uterine fibroids in the elderly need hysterectomy or not needs to be decided according to the physical condition of the elderly and the nature of the fibroids. If the size of fibroids gradually increases or new fibroids appear, it is necessary to go to the hospital in time for early and regular treatment.