A total hysterectomy with bilateral adnexa should be given for postmenopausal fibroids that have increased in size. Fibroids are the most common benign tumors of the female reproductive system, consisting of smooth muscle and connective tissue of the uterus, and are rare before puberty and shrink or disappear after menopause. The majority of fibroids are benign, but very few can become malignant. If the tumor does not shrink or disappear after menopause, but continues to increase in size, prompt surgery is required to alert the patient to the possibility of malignant tumors. The surgical procedure is decided based on what is seen intraoperatively and the pathological examination of the frozen section. If it is benign, total hysterectomy with bilateral adnexal resection is sufficient. In addition, patients with uterine fibroids should pay attention to any menstrual changes and any symptoms of pressure such as frequent urination, urinary retention, constipation, and difficulty in passing stool in daily life. It is important to pay attention to the growth rate of the tumor. Uterine fibroids usually do not grow more than two centimeters per year. It is necessary to review half a year to one year, such as ultrasound examination, MRI examination, etc., to pay attention to whether the echogenicity of the tumor is uniform, whether the envelope is intact, whether the blood supply is rich, etc.