The treatment of uterine fibroids needs to be considered according to the patient’s age, fertility requirements, symptoms and the location of the fibroids. For small fibroids with no symptoms, treatment is usually not needed, especially for near-menopausal women, with the decrease of estrogen and progesterone levels in the body, fibroids can mostly shrink or gradually disappear. 1.When the single fibroid is larger than 5cm; 2.Uterus enlarges as the size of 10 weeks of pregnancy; 3.Anemia secondary to excessive menstruation; 4.Bladder and rectal pressure symptoms such as frequent urination, constipation, poor defecation; 5.Fibroid growth is fast; 6.Conservative treatment fails; 7.Infertility or repeated miscarriage exclude other reasons, surgery is feasible. Surgical methods can include myomectomy and hysterectomy. For younger patients or those who wish to preserve their reproductive function, myomectomy is feasible, while for older patients with more fibroids, more symptoms such as anemia, no need to preserve reproductive function, or suspected malignancy, hysterectomy is feasible. The surgical routes are transabdominal, transvaginal or hysteroscopic and laparoscopic. In conclusion, the specific surgical method and surgical route should be decided according to the patient’s specific condition and the physician’s surgical ability.