If you have fibroids, you don’t necessarily need surgery. If you have small fibroids, you can observe them if you don’t have any symptoms. If there are symptoms, surgery is recommended. At present, there are laparoscopic surgery and open surgery, and then on the surgery, there are ways to remove the uterus or eliminate the fibroids, and the specific way of surgery depends on the patient’s fertility requirements, age and attitude towards the preservation of the uterus. In general, if the number of fibroids is too large and there is no fertility requirement, hysterectomy will be used to avoid the trouble of re-operation, while whether laparoscopic surgery is used depends on the condition of the hospital and the experience of the doctor, or in some cases, vaginal surgery can be considered. For patients who undergo myomectomy, adhesions usually occur after surgery, which is determined by the characteristics of the surgical site. Although there are some anti-adhesive membranes that can reduce the occurrence of adhesions, 1/5 of patients will have different degrees of adhesions after surgery, as shown below. However, these adhesions may have a negative impact on the next surgery. In case of adhesions, the next cesarean section, hysterectomy or myoma removal may cause difficulties in surgery and increase the chance of side injuries, and once side injuries occur, there are many postoperative problems. Therefore, if the fibroids are not large enough to be operated on, surgery should not be considered as much as possible, and if hysterectomy is needed, do not be reluctant to keep the uterus, but consider the possibility and difficulty of the next operation. Usually there are adhesions after hysterectomy, but they are not as severe as after myomectomy.