Patient: I was found to have uterine fibroids on November 24, size: upper and lower diameter 112MM, anterior and posterior diameter 83MM, transverse diameter 112MM; uterus size and shape lost normal, unilateral endometrial thickness 1MM. uterine cavity bright line separation, spacing of about 5.6MM, the left posterior wall of the uterus detects a range of 97*74MM hypoechoic, border is not clear, CDFI: peripheral visible dotted line award blood flow signal. The left ovary is indistinct and the right ovary is 25*21MM. I am preparing for laparoscopic surgery. How soon can I get pregnant after laparoscopic surgery for uterine fibroids? Why? Kang Kai, Department of Obstetrics and Gynecology, Chongqing Ninth People’s Hospital: When can I get pregnant after laparoscopic surgery for fibroids depends on the site and size of the fibroids and the skill of the surgeon. If the fibroids are subplasma (convex to the outside or growing outside the uterus), the damage to the myometrium (uterine wall) during removal is minimal, so even if the fibroids are large, pregnancy can be considered about six months after surgery. In the case of interstitial fibroids or submucosa (convex to the uterine cavity), the removal will cause more damage to the myometrial wall, resulting in a deeper or larger scar in the uterus, and premature pregnancy may result in uterine rupture in the middle and late stages of pregnancy (of course, this is also related to the location of the scar). I gave a lecture on this topic at the 9th Western China and Asia-Pacific Gynecologic Endoscopy Association Regional Forum this year. The surgeon should use as few or no electrosurgical instruments as possible to reduce the damage to the uterine wall when removing the fibroids, and the sutures should be tightly matched to leave no dead space. In conclusion, there are many factors that determine when you will get pregnant after surgery and should be clarified only after surgery. Good luck!