Today is the 25th day of the New Year, and there are still a few days to go before the New Year. Patients in the gynecology ward are being discharged one after another to go home for the New Year, but the nurse informed me that there were two new patients. Patient Li, female, 48 years old, was admitted to the hospital with recurrent vaginal bleeding for half a year and dizziness for one week. She said that she was not bleeding much vaginally, but due to the long bleeding time, she was dizzy and could not go to the street to buy food. The normal work life was affected, so she was admitted according to the outpatient doctor’s arrangement. The patient, Zhang, was 50 years old, had been receiving menstruation for 2 years and had been admitted for 3 days with a little vaginal bleeding, and the outpatient ultrasound also indicated that there were two fibroids located in the anterior uterine wall about 4 cm and 3 cm. Since these two cases were somewhat similar, both patients had fibroids, but the final treatment was different, so the residents and rotating physicians were specially analyzed for their respective conditions. First, patient Li, with a history of anemia due to prolonged bleeding; multiple uterine fibroids; a relatively rapid increase in the size of the fibroids at one-year intervals; and no requirement for childbirth; these are some of the evidence that our physicians, after fully informing the condition, corrected the anemia and diagnostic scraping to rule out malignancy, recommended minimally invasive laparoscopic removal of the uterus. Secondly, patient Zhang, although older than Li, also has no fertility requirements, also has uterine fibroids up to 4 cm. fibroids in recent years, regular examination of fibroids change little, also have vaginal bleeding, but after diagnostic scraping to exclude malignant changes, can be regularly observed or drug treatment. The uterus cannot be cut casually, like patient Zhang, although there are two fibroids, but more than 98% of fibroids are benign lesions, and the fibroids will not increase or even shrink after menopause due to no hormonal stimulation, so the uterus can be preserved; like patient Li, fibroids have led to anemia and dizziness, which affects normal work, grocery shopping and cooking. It must be treated, and the fibroids increased by 2cm in a short time, and it is suspected that the fibroids have degeneration and the disease of the uterus may endanger its life, the patient is already 48 years old and has no fertility requirements, so finally laparoscopic hysterectomy is recommended. The uterus is not only a child-rearing pouch, but also one of the very important female sex characteristics and a target organ for female hormonal action. After hysterectomy, 78% of patients need to take estrogen later in life to maintain female hormone levels. After hysterectomy, many women will feel that they are “fake woman”, “empty woman”, “half woman”, and their psychological anxiety, irritability and emotional disorder will follow, which will affect their sexual life and family harmony and peace. This affects the harmony and peace of the family. Therefore, the clinician should master the indications for surgery and try to preserve the uterus for the patient. If fibroids or uterine diseases endanger the patient’s health, then decisive surgery is necessary to remove them. Laparoscopic total hysterectomy is a high technology that has been developed in recent years. This surgery is less painful and quicker to recover, and you can get out of bed and drink and eat on the day of surgery, with few complications and short hospital stay. In addition, the abdomen is less traumatic, leaving no obvious scars, and also in line with women’s pursuit of beauty, laparoscopic total hysterectomy requires special and relatively expensive surgical instruments, and the technical skills of doctors are also very high. If you or your family or friends have to remove the uterus, laparoscopic total hysterectomy is undoubtedly the most ideal choice.