Not everyone who has fibroids needs surgery. According to studies, 10% of women in the population have fibroids, but most are asymptomatic. What kind of fibroids need to be treated surgically? First of all, surgery is needed if the fibroids produce some symptoms. The main symptoms may include excessive menstrual flow, secondary anemia, pressure on the bladder resulting in frequent urination, or pressure on the rectum resulting in constipation or difficult bowel movements. Once symptoms are present, they will need to be treated. If the fibroids are too large, for example, if the uterus is found to be the size of a 12-week pregnancy, surgery should be considered. In addition, if a fibroid is suspected to be malignant, surgery should be considered to rule out the possibility of malignancy. For young women who have not had children, there is no unified understanding of how large a fibroid should be considered for surgery if they have the desire to have children, some people think it is necessary to operate if it is more than 4 cm, others think it is necessary to operate if it is more than 7 cm, but it is not necessary to deal with small fibroids. The main concern during pregnancy is the red degeneration that occurs during pregnancy and causes pain and miscarriage during pregnancy, but the chances are small and there are many people who can have a pregnancy with a tumor. The fibroids may grow in size during pregnancy. If there is no need to have children, small asymptomatic fibroids may not need to be treated at all, as they have little chance of becoming malignant. My opinion is that surgery should not be done because of the risk of surgery and because after myomectomy, more serious adhesions often occur, such as adhesions to the bladder, intestines and pelvic wall, which may or may not produce symptoms of abdominal pain, but have a greater impact on secondary surgery. laparoscopic surgery to manage them. Therefore, if it is possible not to have surgery, do not have surgery, and if surgery is necessary, it is possible to solve the problem in a single operation if possible.