The recurrence rate of fibroids after surgery is high, and many patients cannot understand why they still have recurrence after surgery. Is it necessary to receive a knife again after recurrence? Here we will explain it to you. The younger you are at the time of surgery, the higher the recurrence rate of fibroids. Most patients recur about 2-5 years after surgery, and the location of recurrence is not necessarily the same as the previous location of fibroids. Second, the recurrence rate of multiple fibroids is higher than that of solitary fibroids. The radical treatment for multiple fibroids is hysterectomy, but many patients opt for myomectomy due to fertility requirements or other reasons, which brings the possibility of recurrence. Third, laparoscopic resection has a higher recurrence rate than open surgery. This is because during open surgery, the surgeon can touch the uterus by hand and find small fibroids buried deep between the muscle walls that cannot be seen by ultrasound (ultrasound can only distinguish fibroids >4mm), thus making it more likely that the fibroids will be removed cleanly. Laparoscopic surgery, because the surgeon cannot reach the uterus, makes some small fibroids to be missed, leaving a hidden danger of recurrence in the future. Most of the recurrent fibroids have no clinical symptoms, therefore, patients with fibroids still need to be reviewed regularly after surgery. The first review is after 3 months of surgery, and if no problem is found, it will be changed to once a year. The principle of whether to treat recurrent fibroids is the same as that of the original fibroids: if there is no increase in menstrual flow or prolonged menstrual period, causing symptoms such as urinary frequency and urgency, leading to constipation and difficulty in defecation, it is sufficient to review the ultrasound every 3-6 months.