Uterine fibroids are undoubtedly the benign tumors with the highest incidence in female reproductive organs, causing great physical and psychological distress to patients: menstrual disorders, excessive menstrual flow, infertility, psychological fear even though there are no symptoms, etc. The emergence of hysteroscopic electrosurgery for uterine fibroids has opened up a new way for the treatment of fibroids in a minimally invasive way, and the following are two typical cases treated in our hospital. Case 1: The patient, 43 years old, had fibroids for 4 years and her menstrual flow increased year by year, leading to anemia. The doctor who did the ablation recommended her to use hysteroscopy first to evaluate whether she could be electrically removed under hysteroscopy, which could reduce the cost of surgery and shorten the treatment time. After examination, two endometrial myomas (type 0 and I) were found in her uterine cavity, and hysteroscopic myomectomy was performed very smoothly, and her symptoms improved quickly after the operation. Case 2: The patient, 31 years old, was diagnosed with multiple uterine fibroids due to excessive menstrual flow and anemia, and underwent transabdominal myomectomy in a hospital in our city. 3 months after the operation, her symptoms did not improve and she came to our hospital and was found to have 6 endoplasmic fibroids, 1-3 cm in diameter, type 0, type I and type II, respectively, by hysteroscopy. The myomas that could be exposed were removed. The patient’s menstrual flow was significantly reduced at the postoperative follow-up and the morphology of the uterine cavity returned to normal. The emergence of transabdominal myomectomy half a century ago had been highly praised, and treating the disease without destroying the function of this organ is undoubtedly the highest level of surgery. Hysteroscopic treatment of the disease via the natural cavity minimizes damage and is truly minimally invasive. This is why hysteroscopic electrosurgery of uterine fibroids has become the most fulfilling procedure for the surgeon and the most satisfying for the patient. However, as a conservative treatment procedure, it is not omnipotent. While preserving the function of the organ, it also preserves the risk of recurrence of the disease, so we are required to have good psychological tolerance. In addition, the location of the fibroids also limits the feasibility of some surgeries, which should be evaluated before the surgery to choose the right indications and the right patients in order to make the most of the benefits brought by a new technology.