Surgery for fibroids can be done through the open, laparoscopic, or vaginal route. Regardless of the route, surgery for uterine fibroids includes hysterectomy and myomectomy. The choice of the best surgical procedure is, in principle, individualized according to the patient’s age, the requirement for fertility, the requirement for uterine removal and the condition of the lesion. If the patient is young and has fertility requirements, myomectomy is usually performed; for patients nearing menopause who do not have fertility requirements, hysterectomy is appropriate. Open surgery is suitable for almost all fibroids, but it is relatively more invasive and slower to recover. Laparoscopic surgery is characterized by less trauma and faster recovery, but proper indications must be chosen, taking into account the size of the fibroid, whether it is solitary or multiple, and its location. Some patients are also suitable to choose negative myomectomy and hysterectomy. If the submucosal fibroids in the uterine cavity prolapse into the vagina, transvaginal removal is sufficient. Hysteroscopy is indicated for the removal of submucosal fibroids in the uterine cavity. Regardless of the surgical route through which the uterus is preserved, especially in younger patients, there is a possibility of fibroid regeneration. There are limitations to either of the above surgical approaches. Therefore, patients with uterine fibroids are advised to see their doctor to decide whether surgery is needed and what is now a reasonable surgical procedure based on their condition.