Is general anesthesia or semi-anesthesia for fibroid surgery? Semi-anesthesia is what is known as lumbar anesthesia. This depends on your choice of surgery and whether the surgery is a total hysterectomy or a myomectomy. If you want to remove the fibroids alone, it is called myomectomy. If you want to remove the uterus and the cervix, you should have a total hysterectomy. If you choose to simply remove the fibroids and keep the uterus, if you don’t want to do minimally invasive surgery, you can choose lumbar anesthesia, which is an open surgery. If you want to do minimally invasive surgery for fibroids, whether it’s a total uterine excision or fibroid nucleation, the anesthesia option is basically general anesthesia, because laparoscopic surgery must be general anesthesia. If the fibroids do not preserve the uterus, hysterectomy, there is also the choice of lumbar anesthesia when doing uterine surgery, generally open surgery. In the earliest surgeries, the general treatment of fibroids is the choice of lumbar anesthesia, now if all choose minimally invasive, it must be general anesthesia.