Posterior uterine wall fibroids grow on the posterior wall of the uterus, usually intermuscular. If the fibroids are relatively large, they can easily compress the rectum and lumbar nerves, causing symptoms such as constipation or lumbar pain. If the fibroid in the posterior wall of the uterus is relatively small in size and is not accompanied by other abnormal symptoms, it can be treated without special treatment for the time being and be reviewed regularly; if the fibroid is relatively large, the treatment can be chosen according to the patient’s own symptoms, the size of the fibroid and the symptoms, and surgical resection can be chosen if necessary. Therefore, it is recommended to seek timely medical treatment and symptomatic treatment for fibroids found in the posterior wall of the uterus.