Uterine fibroids are the most common benign tumors of the female reproductive system and are most commonly seen in women between the ages of 30 and 50. The need for surgery is related to the size and location of fibroids. 1.Surgical treatment: Surgery is needed if the patient has the following conditions: (1) the patient has excessive menstruation, resulting in anemia, and the effect of medication is not good; (2) the fibroid causes abdominal pain, painful intercourse; (3) the fibroid is large in size, or the fibroid causes frequent urination, urinary urgency, constipation, etc.; (4) the fibroid causes infertility or repeated miscarriage; (5) the fibroid is suspected to have malignant changes, etc. (5) Suspected malignant change of fibroids. Surgical removal of fibroids is the most effective method. Surgery for fibroids can be performed openly to remove the fibroids, or laparoscopically, or vaginally if the fibroids are protruding into the vagina, without an incision in the abdomen. 2.Conservative treatment: Since most patients with fibroids have no obvious symptoms, most of them are found by chance during physical examination. If there is no clinical manifestation, fibroids can be treated without treatment, especially in menopausal women, because most fibroids can shrink after menopause. Such patients need to be reviewed in the hospital every 3-6 months. If the fibroids are significantly enlarged, or if some clinical symptoms start to appear, such as increased menstrual flow, significantly prolonged menstrual periods, palpable masses in the lower abdomen, increased leucorrhea or even purulent leucorrhea, etc., and the symptoms are relatively mild, or if there are special circumstances that make surgery unsuitable, they can be treated with drugs that lower estrogen levels, such as leuprolide injections, or oral mifepristone, but long-term use is not recommended. In summary, those with severe symptoms, large fibroids or those for whom conservative treatment is ineffective need surgery. However, most patients with fibroids are asymptomatic or have mild symptoms and can be treated conservatively.