The vast majority of gynecological surgeries are elective surgeries, which is different from emergency surgeries. If it is an emergency situation, such as an ectopic pregnancy with blood loss and shock, or a ruptured corpus luteum cyst with acute internal blood loss, then these cases require emergency surgeries and cannot be delayed. The vast majority of gynecological surgeries are elective, for example, the first gynecological surgeries are uterine fibroids, ovarian tumors, then cervical cancer, endometrial cancer, all are considered elective surgeries. Elective surgery means that you need to choose the time to do it, and what time to choose? It is necessary to consider the patient’s time, the doctor’s time, and also the condition and the patient’s status. Uterine fibroids are probably at the top of the list of patients having surgery, and probably this is the same percentage of patients having surgery in most hospital gynecology departments. Patients with fibroids probably need surgery, many times with symptoms, increased menstrual flow, followed by anemia is a common symptom, in this case, it is necessary to slow down, do not rush, you have time to come well prepared before surgery. I have seen many doctors who are in a hurry to hospitalize these patients, and then find that the hematocrit is low, they give blood transfusions, replenish the hematocrit to normal, then open the surgery, and then transfuse the blood once the surgery bleeds. Although the blood nowadays is strictly tested, there is still a window period and the possibility that some pathogens that are not yet known to humans may cause infections to you. What should I do if I am anemic before surgery? Don’t worry, take your time to replenish, generally, iron supplements can effectively relieve anemia, but of course, if there is a combination of heavy menstrual flow, iron supplementation while losing blood once the menstruation comes, this time, you need additional methods to keep the menstruation away, once the menstruation does not come, blood loss is reduced, and the hematocrit naturally goes up. are the drugs I often use to deal with menstruation before surgery and keep it away. Generally, after 1 to 3 months of drug treatment, the myoma will usually shrink and the hematocrit will be replenished to normal levels. Think about if it is 13 grams of hematocrit and 7 grams of hematocrit and both have to bleed during surgery, which patient has less chance of transfusion? Naturally at this time we need to take our time. At present there is also a technique of autologous blood reserve available, this is about 1 month before the surgery, the patient’s body blood will be drawn out, and then through the supplementation of iron to enhance their own hematocrit, in the process of surgery and then the reserve blood transfusion back, such blood is their own, but also absolutely safe, sometimes if it is estimated that intraoperative bleeding, you can also do 2 to 3 times autologous blood reserve, with 1000 With a reserve of 1000 ml of your own blood, the surgery is much safer to do. I have used this technique on several of my patients with Rh-negative blood, and the intraoperative transfusion of autologous blood has had a very good effect. Of course, if the bleeding during the procedure is not expected to be significant, for example, with focused ultrasound therapy, no intraoperative bleeding will occur, and with hysteroscopic polypectomy, no major bleeding will occur, then the procedure can be considered in a mildly anemic state, as long as the intraoperative bleeding is not expected to be significant. This topic is about the concept of not doing elective surgery in case of anemia. Hospital administrators should also promote the implementation of these concepts to reduce the rate of elective surgery in anemic patients and reduce the chance of intraoperative blood transfusion, and the application of progressive concepts and advanced technology can also reduce blood shortage in today’s increasingly tight blood supply. As a physician, you should also implement the concept of considering the patient’s interest first. Don’t be in a hurry to do the surgery, you will not run away if you do the surgery a few days later, and you will have more patients coming to you for surgery when you put the patient’s interest first.