Nowadays, many patients always feel that surgery in the abdomen would be traumatic, while hysteroscopic surgery is considered to have many advantages, such as safety, uterus preservation, shorter hospitalization, no recurrence, and no scarring. So, is hysteroscopy the most ideal way to treat uterine fibroids or not? First of all, there are certain indications for hysteroscopic treatment of uterine fibroids, mainly applicable to submucosal fibroids, cervical fibroids and intermural fibroids protruding into the uterine cavity; and the diameter of fibroids should be in the range of 3~5 centimeters, and it is best to have a period of medication before the operation. If the fibroid is far from the mucosa and close to the plasma membrane layer, it is not suitable for hysteroscopic surgery, otherwise there is a risk of uterine perforation, heavy bleeding, and even the risk of uterine rupture in future pregnancies. Secondly, for the problem of fibroid recurrence, no matter what surgical method is used, it is impossible to avoid fibroid recurrence as long as the uterus is preserved. Studies have shown that there is no significant difference between hysteroscopic debulking and open surgery in terms of postoperative pregnancy rate and recurrence rate. This shows that minimally invasive hysteroscopic surgery is not all-powerful, and the specific treatment should be confirmed by the doctor on a case-by-case basis.