Laparoscopic myomectomy experience: 1, the choice of incision: incision on the surface of the uterine fibroids is not bound to the open longitudinal incision, but can be longitudinal, transverse, oblique incision, or even T-shaped incision, according to the location of the fibroids and the convenience of the operator’s sutures, for those who have not had children to minimize the severance of the myometrial texture and thus choose the longitudinal incision, for adjacent fibroids can take into account both from the same incision. 2, the application of the uterus lifter, for the uterus anterior wall fibroids we try to lift the uterus lifter to the head side, or downward pressure or upward, to facilitate the exposure of the incision; the uterus bottom fibroids, the uterus lifter will be pulled downward so that the maximum exposure of the incision in the field of view, the posterior wall fibroids, especially the middle and lower section we withdraw the uterus lifter, in order to the operator in the suture process can be more flexible to change the position of the uterus, so as to maximize the convenience of suture The suturing time is shortened. 3.The choice of 10 mm operation hole: Most of the operators are used to place it under the operator’s side to facilitate the operation, but it can also be placed at the suprapubic area to facilitate the “double consultation into the abdomen” after the expansion of this incision, so as to achieve the touch of opening the abdomen, and then have the effect of opening the abdomen, and try not to miss the small deep fibroids. 4. If the uterus is large or the distance between the umbilicus and the pubic area is short, place the mirror hole at 2 to 3 cm above the umbilicus to increase the surgical space and the surgical field of view for easy operation. If the fibroid is small and the tissue at the tip is not much, you can directly use bipolar electrocoagulation to coagulate the blood vessels at the tip, or use wire to ligate the blood vessels and cut off the fibroid; if the fibroid is large and the tissue at the tip is much, you can first use homemade ligature ring of Line 0 to ligate the tip of the fibroid twice, and then coagulate and cut the tip to reduce bleeding. 6, broad ligament fibroids and cervical fibroids must pay attention to the ureter and uterine vascular direction: carefully check the position of uterine artery and ureter, after the fibroids are peeled out, the ureter needs to be carefully checked before stopping bleeding and suturing, the ureteral peristalsis should be checked before the end of surgery, and cystoscopy can also be used to check the ureteral opening for urine spraying. 7, the choice of drugs to promote uterine contraction and hemostasis: we try to use posterior pituitary hormone 6 units diluted into 20ml and inject the interstitial space between myoma and myometrium to promote strong contraction of uterine smooth muscle, which can make small arteries and capillaries contract and thus have good hemostatic effect, and at the same time make the level between myoma and peritoneum clearer. 8. The placement of sutures is usually done with 1/0 absorbable biologic thread, which has a better effect of sutures with thread for larger deep myomas. The needle is inserted from the outer lower non-vascular area of the operation hole of the first assistant, and the needle holder pulls out the needle from the abdominal cavity (the length of the thread tail is decided according to the depth of the tumor cavity size), so it is very convenient to insert the needle and suture.