If the fibroid is 10 cm in size, surgery is indicated, regardless of whether the fibroid is subplasmic, interstitial, submucosal, or symptomatic or asymptomatic. The decision of whether to perform laparoscopic myomectomy, open myomectomy, hysteroscopic myomectomy, combined hysteroabdominal surgery, or whether to remove the uterus is based on the size and location of the fibroid, and whether the fibroid is multiple, and whether the fibroid is degenerative. If the fibroid is subplasmic and the patient is older, a total hysterectomy will be required.