Hysterolaparoscopic treatment of fibroids is not new to many women, but many women are less familiar with the idea of cathartic myomectomy. In fact, the negative myomectomy is a minimally invasive treatment for uterine fibroids as well as the hysterolaparoscopy, and the negative myomectomy has its unique advantages. The vaginal myomectomy is the most natural surgical method because the vagina is the natural cavity of the body, leaving no scars on the abdomen and minimizing the disturbance to the abdominal cavity, minimizing the risk of trauma and anesthesia. Transvaginal gynecological surgery uses the vagina as a natural channel to perform surgery, which has the advantages of less tissue trauma, less interference with abdominal organs, less pain after surgery, faster recovery, shorter hospital stay, no scar on the abdominal wall, lower medical costs, etc. It is more in line with the principle of minimally invasive surgery and its superiority has been recognized.