Fibroadenoma of the breast needs to be removed surgically, and there are two surgical methods, one is the traditional surgical removal through a skin incision, and the other is the popular “McMurdo” method of vacuum negative pressure rotary excision, also known as “minimally invasive” surgery in recent years. This method uses a hollow needle a few millimeters thick with a built-in manipulable rotary cutter and a negative pressure suction device to puncture the “needle end” under the fibroadenoma through a very small skin incision, activate the rotary cutter, and remove the fibroadenoma through a layer-by-layer approach. The term “minimally invasive” refers to the fact that the skin wound is extremely small, leaving little to no trace after healing. There are advantages and disadvantages to both types of surgery, so how do you choose the right one for you? The decision can be based on the following principles. 1.Cases suitable for minimally invasive surgery Single or multiple breast fibroadenoma can be used, but only if the tumor is small, less than 2cm in diameter, and the tumor is located in the periphery of the breast. 2.Cases suitable for traditional surgery If the tumor is larger than 2cm in diameter, or if the tumor is located in or near the nipple or areola, it is better to use traditional surgery and operate under direct vision to avoid accidental damage to important structures around the tumor, such as milk ducts and large ducts, if the operation is not performed under direct vision. Damage to the milk ducts and large ducts often goes unnoticed during surgery and patients do not experience any discomfort at the time of surgery or afterwards, but the damage can affect the future breast lactation function and increase the chance of breast enlargement, plasmacytoid mastitis and septic mastitis during lactation.