For gynecologic tumor patients and their families, choosing the surgical procedure is a difficult task. Each patient has his/her own disease characteristics and lesion stages, and in principle, the choice of surgical procedure should be based on the advice of the attending physician and it is better to consult with the relevant specialists at least at the provincial level. At present, gynecological surgery is divided into classical open surgery, laparoscopic surgery, hysteroscopic surgery, and negative surgery. Except for transabdominal surgery, all others are minimally invasive surgeries. The principles of selection are generally as follows: 1. Hysteroscopic surgery: suitable for the treatment of benign lesions in the uterine cavity, including the removal of submucosal fibroids, hysterectomy for polyps, hysterectomy for longitudinal septum, endometrial resection for uterine bleeding, separation of uterine adhesions after abortion, removal of residual embryos after abortion, and removal of difficult birth control rings, etc.; 2. Negative surgery: including uterine (including myoma) of less than 2.5 months of pregnancy Hysterectomy for benign lesions of the uterus (including fibroids) under 2.5 months of gestation, hysterectomy plus anterior and posterior vaginal wall repair with or without anterior and posterior vaginal wall bulge or pelvic suspension with biological patch, vaginal lesion surgery, vulvar lesion surgery, vesico-vaginal fistula repair surgery, recto-vaginal fistula repair surgery, etc.; 3. Laparoscopic surgery: surgery for benign uterine diseases that are not particularly large, such as total hysterectomy for uterine fibroids or myoma laparoscopic surgery: surgery for benign uterine diseases that are not particularly large, such as total hysterectomy or myoma excision for uterine fibroids, radical cervical cancer surgery + pelvic and abdominal lymph node dissection within stage IIA, radical endometrial cancer surgery + pelvic and abdominal lymph node dissection, radical ovarian cancer surgery + pelvic and abdominal lymph node dissection in early stage, endometriosis surgery, laparoscopic peritoneal (intestinal) vaginoplasty, laparoscopic vaginal apex suspension surgery, and surgery for various benign ovarian and fallopian tube lesions, etc.; 4. Open surgery can be used for benign or malignant lesions of the uterus, ovaries and fallopian tubes, especially when there are estimated to be serious adhesions in the abdominal cavity or when the hospital has no conditions for minimally invasive surgery or when the surgeon is less skilled or less experienced. In addition, this procedure should also be chosen for mid- to late-stage ovarian cancer, and laparoscopic radical ovarian cancer surgery + pelvic and abdominal lymph node dissection should not be chosen to avoid promoting the intra-abdominal spread of cancer. Yuan Zhongfu, Department of Obstetrics and Gynecology, First Affiliated Hospital of Zhengzhou University