Fibroids are the most common benign tumors of the female reproductive system. About 50% of women will have fibroids in their lifetime, and about 25% of those with fibroids will need treatment. So what kind of fibroids need treatment? The simple answer is that those with symptoms need to be treated. 1, excessive menstruation, which is the most common symptom caused by fibroids, especially submucosal fibroids, manifested as normal menstrual cycle, but the amount and duration of each bleeding increases, and some can lead to severe anemia. 2. Infertility, some fibroids growing in special areas can lead to infertility, such as submucosal fibroids and fibroids growing in the horn of the uterus. 3, compression symptoms, generally manifested as the growth of particularly large fibroids, can be compressed bladder or rectum, thus causing symptoms such as frequent urination, constipation. 4, the possibility of malignant change, manifested as the uterine fibroids grow too fast, the internal echogenicity is not uniform, etc. In the past, it was thought that uterine fibroids that enlarge the uterus beyond the size of 10 weeks of pregnancy or a single fibroid with a diameter of more than 5cm required surgery, but nowadays it is believed that since 99% of fibroids are benign, most of them can be treated when they are asymptomatic. Treatment: Surgery is the main treatment, which can be divided into laparoscopic surgery and open or negative surgery. Depending on the extent of the resection, it is possible to perform myomectomy, subtotal hysterectomy, or total hysterectomy, depending on the age of the patient and the requirements for fertility. Laparoscopic myomectomy is a relatively difficult laparoscopic procedure because it requires very skilled microscopic suturing techniques because of the large amount of bleeding that can easily occur in the cavity after removal of the fibroids. In general, it is easier to suture single fibroids, fibroids located in the anterior wall of the uterus, while fibroids located in the posterior wall of the uterus or in the lower part of the uterus are difficult to be sutured. The decision to perform laparoscopic surgery or open surgery depends on the surgeon’s skill and the characteristics of the fibroid. Non-surgical treatment includes pseudo-menopause therapy, i.e. oral GnRHa, which causes amenorrhea for six months in order to shrink the fibroids, but the effect is usually not satisfactory and the fibroids will grow slowly after resuming menstruation. Radiofrequency ablation is a new outpatient minimally invasive procedure, which is guided by B-ultrasound and an ablation probe is inserted into the uterine cavity to ablate the fibroids, causing necrosis and then slowly absorbing the fibroids. Interventional embolization of the uterine artery, by embolizing the uterine artery, causes ischemia and necrosis of the fibroids, which is then slowly absorbed, and is more expensive, probably around 15,000.