Uterine fibroids are the most common benign tumors in gynecology and are spherical nodules caused by the proliferation of smooth muscle cells. According to statistics, about 20% of women over 30 years of age have fibroids, and the incidence may actually be higher. In our work, we often meet women who ask whether they can get pregnant directly after having fibroids or whether they need surgery to remove the fibroids. The possibility of getting pregnant with fibroids depends on the type and size of the fibroids. According to the relationship between fibroids and the uterine wall, there are interstitial fibroids, subplasmic fibroids and submucosal fibroids. Submucosal fibroids are located in the uterine cavity, and the normal volume of the uterine cavity is only 5 ml. The presence of submucosal fibroids can cause a reduction in the space available for fertilization, which can affect the fertilization of the egg and lead to early miscarriage; secondly, larger intermural fibroids can cause an increase in the size and deformation of the uterine cavity, which can affect the blood supply and growth of the endometrium and also cause miscarriage; subplasmic fibroids are located on the surface of the uterus and protrude into the pelvic cavity and have little effect on pregnancy. Therefore, combining the literature and clinical experience, the author believes that submucosal myomas need to be removed before pregnancy, with the option of hysteroscopic excision. Interstitial fibroids less than 3 cm without menstrual changes can be directly conceived, while interstitial fibroids of 4 cm-6 cm can be tried first, but if there is a history of 2 spontaneous abortions, it is recommended to perform myomectomy before pregnancy. As for subplasmacytic fibroids, they do not require special treatment unless they are located in the lower part of the uterus or are expected to cause obstruction of the birth canal during delivery, or if they are larger than 6 cm, they require surgery first. How long is the interval between surgery and pregnancy? Pregnancy after submucosal myoma electrosurgery is best after 3 menstrual periods; after intermural myoma debridement needs to be decided according to the distance between the myoma and the uterine cavity, if the myoma is close to the plasma membrane and the base is far from the uterine cavity, postoperative contraception is recommended for 3-6 months, if the base enters or is close to the uterine cavity, postoperative contraception is recommended for 8-12 months. This requires communication between the patient and the attending surgeon to understand the specific situation. Pregnancy can be achieved 1-2 months after subplasma myoma surgery.