At present, individualized treatment plan is increasingly advocated in gynecological surgical treatment. Specifically for uterine fibroids, not all uterine fibroids need surgery, according to the patient’s age, the severity of symptoms, whether there is a requirement for childbirth and other factors, and after full communication with the patient, and then choose an individualized treatment plan, the specific approach is as follows: 1, preoperative cervical examination; 2, if the patient’s menstruation changes are more pronounced, anemia symptoms have appeared, the medication is ineffective, and there is no requirement for childbearing, it is recommended to perform laparoscopic Total or subtotal hysterectomy under laparoscopy; 3. If the patient has reproductive requirements or is young and unwilling to remove the uterus, laparoscopic myomectomy is feasible. At present, there are still some patients who have higher requirements for quality of life, although they are older or have entered perimenopause, but still require uterus preservation. After sufficient communication, if the patient is willing to bear the risk of recurrence of fibroids in the future, the patient can also comply with the requirements of laparoscopic myomectomy, leaving the uterus and preserving the integrity of the organ.