Whether you need surgery for breast fibroids is determined by the size of the adenoma and the clinical symptoms. Small adenomas with no symptoms do not require surgery; larger adenomas that cause significant menstrual pain require surgery. Small breast fibroids, which do not have clinical symptoms and do not affect the physical condition, do not need to be intervened by surgery, and regular checkups are sufficient. Fibroids that are large in size, exert pressure on neighboring tissues, and cause significant menstrual pain require radical surgery to relieve symptoms. Breast fibroids, accompanied by obvious pain and discomfort and continue to increase in size, need to consult a doctor in a timely manner, through clinical examination to determine the specific situation, under the guidance of the clinician for standardized treatment.