Many patients ask, “Can I choose a minimally invasive procedure? For example, laparoscopy or hysteroscopy?” Let’s find out what types of fibroids are suitable for open, laparoscopic and hysteroscopic surgery. Open surgery is suitable for almost all fibroids. The advantage of open surgery is that the uterus can be touched by the fingers during the operation, and small fibroids deep down that were not detected by ultrasound before the operation can be found, and the uterus can be sutured more tightly under direct vision, and the shape of the uterus can be recovered better. However, the surgery is relatively invasive and the recovery is slow. Laparoscopic surgery Laparoscopic resection is indicated for most of the interstitial myomas and subplasmacytic myomas. Laparoscopic surgery is characterized by less trauma and faster recovery. However, because laparoscopic surgery is performed by instrument-operated suturing, it is a better test of the surgeon’s suturing skills. There are reports that laparoscopic myoma removal has a high chance of uterine rupture after pregnancy. Hysteroscopic surgery Hysteroscopic myomectomy has no incision, and the surgical instruments enter the uterine cavity through the cervical opening via the vagina. It is suitable for submucosal fibroids less than 5 centimeters, and interstitial fibroids that protrude in the direction of the uterine cavity; it has a better treatment effect on abnormal uterine bleeding caused by submucosal fibroids. However, patients are reminded that hysteroscopic electrosurgery for uterine fibroids has the risk of causing uterine perforation, so the most suitable treatment is for submucosal fibroids type 0. If the surgeon is more skilled, submucosal fibroids type I and II can also be tried, but there is a certain risk of perforation and residual. TIPS type 0 submucosal fibroids: located completely in the uterine cavity with a tip attached to the uterine wall like an apple; type I submucosal fibroids: <50% of the tumors grow in the muscular layer; type II submucosal fibroids: >50% of the tumors grow in the muscular layer. Finally, we remind patients that the choice of surgical route is highly dependent on the medical conditions of the hospital you visit and the technical expertise of the surgeon, so we suggest you trust your doctor and actively cooperate with the treatment.