Elderly people have uterine fibroids whether need surgery specifics are as follows: 1, if the fibroids continue to be larger than 5cm or more, has been growing, from 55-60 years old between the fibroids in the long, it is recommended to do surgical treatment, so as to avoid malignant changes; 2, intermittent bleeding, this time also need surgery; 3, monitoring found that the uterine fibroids gradually atrophy, the original 3-5cm, year by year check 2-3cm is also symptomless, at the same time, do not Bleeding, then there is no need for surgical treatment. Therefore, we should pay attention to the malignant changes of fibroids after old age, because there will be many complications after old age, and the tumor will come at this time, so we should dynamically carry out ultrasound to monitor the shrinkage of fibroids or the growth trend, and then carry out surgical treatment if necessary.