Uterine fibroids are a common benign tumor in women, mostly seen in women aged 30-50 years, with the most common being in the 40s and 50s. If the fibroids are relatively small and asymptomatic, they usually do not require treatment. Especially for patients near menopausal age, the fibroids can shrink or disappear naturally with the decrease of estrogen level. Regular follow-up is all that is needed, and if the fibroids increase in size or become symptomatic during the follow-up process, further treatment will be given. If the uterus is larger than the size of the uterus at 10 weeks of gestation, or if it causes excessive menstrual flow leading to anemia, or if there are symptoms of pressure (pressure on the bladder leading to frequent urination, difficulty in urination, urinary retention, or pressure on the rectum leading to difficulty in defecation), or if the fibroids are in special locations (submucosal fibroids, broad ligament fibroids, cervical fibroids), or if the growth rate is rapid and malignancy is suspected, surgical treatment should be performed. For those who need to preserve their fertility, hysterectomy can be performed via abdominal or laparoscopic removal of fibroids, and for submucosal fibroids protruding into the vagina, hysteroscopic removal can be performed via vaginal or hysteroscopic removal; for those who do not need to preserve their fertility, hysterectomy is feasible. If the fibroids cause an enlarged uterus, within the size of the uterus at, say, 10 weeks’ gestation, with insignificant or mild symptoms, near menopause or unable to tolerate surgery, medications such as androgens and luteinizing hormone-releasing hormone analogs may be given, but the medications have certain side effects. Treatment of uterine fibroids must be considered comprehensively based on the patient’s age, fertility requirements, symptoms, and fibroid size.