Uterine fibroids are common in women, and according to statistics, about 20% of women over 30 years of age have fibroids. Uterine fibroids are classified according to their relationship with the uterine wall: subplasmic fibroids (growing outside the uterus), intermyometrial fibroids (growing inside the myometrium), submucosal fibroids (growing inside the uterine cavity), in addition to the more specifically located broad ligament fibroids and cervical fibroids. Different types of fibroids are treated in different ways. If the size of a single fibroid is under 4-5 cm and there are no symptoms, it can be observed, i.e., ultrasound is performed every six months to a year. For submucosal fibroids that grow into the uterine cavity and cause changes in the patient’s menstruation, such as increased menstrual flow, irregular vaginal bleeding, or even cause infertility, such fibroids should be removed as soon as possible, regardless of their size. Hysteroscopic submucosal myomectomy is the treatment of choice for submucosal fibroids. Laparoscopic myomectomy is feasible in women who wish to preserve the uterus and address subplasma fibroids that grow outside the uterus and interstitial fibroids with significant ectasia. For patients with very large fibroids or an unusually large number of fibroids (more than 5) with fertility requirements that are not suitable for minimally invasive surgery, transabdominal myomectomy is feasible. For patients with large fibroids, a large number of fibroids, obvious symptoms and no need to preserve the reproductive function, total hysterectomy or total hysterectomy + bilateral adnexal resection is the most effective method.