Uterine fibroid adenomyosis is known as adenomyosis, there is no such thing as which is better, total excision or secondary excision for adenomyosis surgery, you need to judge which surgery to choose according to your condition. If the patient is young and has the desire to have children, he/she can choose secondary excision, if the condition is serious or has no desire to have children, he/she can choose total excision. Adenomyosis patients need to decide according to their own situation, if the patient is younger and has the requirement of childbearing, they can take the secondary excision method. If the patient is young and fertile, the secondary excision can be performed. The secondary excision is mainly a lesion removal surgery, which can preserve the reproductive function of the patient. If the patient’s condition is more serious or if the patient does not have the desire to have children, a total excision can be performed. The main surgical methods are endometrial removal, total hysterectomy, uterine artery embolization, etc., which can effectively improve the patient’s discomfort. Surgery for adenomyosis should be chosen according to the patient’s specific situation, and it is recommended that the patient should consult a doctor in time and follow the doctor’s instructions to choose the appropriate surgery.