Patient: I had fibroids for the previous 5 years, but I haven’t gone for a review this year, in which case must I have surgery? Kang Kai, Department of Obstetrics and Gynecology, Chongqing Ninth People’s Hospital: Not all uterine fibroids need to be operated. Surgery is mainly for the following cases: 1) excessive menstrual flow affecting the quality of life (in this case, there are often submucosal fibroids or interstitial fibroids projecting into the uterine cavity or multiple fibroids causing a significant increase in the uterine cavity); 2) fibroids causing the uterus to be larger than 10 weeks’ gestation (about a goose egg); 3) fibroids growing rapidly; 4) symptoms of pressure on the surrounding organs (such as pressure on the bladder causing frequent urination, pressure on the rectum causing The symptoms of compression of the surrounding organs (such as frequent urination due to pressure on the bladder, change in stool characteristics due to pressure on the rectum, and hydronephrosis due to pressure on the ureter); 5. Infertility or repeated miscarriage to exclude other causes. With the rapid development of gynecological lumpectomy technology nowadays, almost all fibroids requiring surgery can be solved under laparoscopy or hysteroscopy.