You can have a painless abortion with fibroids without any problem. However, during the procedure, we should pay attention to the location of the fibroids. If the fibroids are in the subplasma layer, there is basically no effect on the procedure. If the fibroids are in the myometrium, the larger fibroids may cause deformation of the uterine cavity, which may lead to leakage of suction during the painless abortion, so the painless abortion can be done under ultrasound guidance to prevent leakage. In case of submucosal fibroids, hospitalization for painless abortion is recommended, because submucosal fibroids tend to bleed a lot, and hospitalization for painless abortion can be safe and prevent accidents during the procedure, and hospitalization can get more timely resuscitation.