Whether or not to remove the uterus in patients with fibroids should be assessed according to the patient’s symptoms, age, fertility requirements, etc., and cannot be generalized. In general, patients with mild symptoms of fibroids can be treated with medication; patients with obvious symptoms and fertility requirements can be treated with myomectomy to preserve the uterus, and those without fertility requirements can be treated with hysterectomy. Some patients with mild symptoms, close to menopausal age or those who are not suitable for surgery can be treated with drugs such as mifepristone without surgery. The indications for surgery mainly include excessive menstruation due to fibroids, secondary anemia; severe abdominal pain, pain during sexual intercourse or chronic abdominal pain, etc.; and large fibroids causing compression symptoms. Surgical treatment of uterine fibroids is divided into myomectomy and hysterectomy. Myomectomy is suitable for patients who are young, have single fibroid, and have fertility requirements, etc. However, there is a possibility of residual or recurrence after surgery. Hysterectomy is mainly suitable for those who do not require fertility preservation and those who are suspected of having malignant changes. It is recommended to consult a doctor in time and choose an appropriate treatment plan under the guidance of the doctor according to one’s condition. The use of specific drugs should be under the guidance of the doctor.