Should I have surgery first or have children first for fibroids? The first step is to make a comprehensive assessment based on the patient’s age, clinical symptoms, location, size, number and nature of the fibroids. If the fibroids are small and asymptomatic, they do not affect pregnancy or delivery, so we recommend to observe them first. For patients with the following conditions, we generally recommend surgery before considering pregnancy. For example: 1. large fibroids, more than 5 cm in diameter, and a large number of fibroids, the uterus has exceeded the size of two and a half months of pregnancy when not pregnant. 2. If the fibroids grow fast or get bigger instead of shrinking after menopause, the possibility of malignant transformation should be considered for surgical removal. 3.If the fibroids cause a lot of bleeding, or if there are symptoms of excessive menstruation and anemia, surgical removal should be considered. 4.If there is no other reason for delayed pregnancy or repeated miscarriage, we should consider dealing with fibroids. 5.People who have symptoms of bladder and rectal pressure such as frequent urination or poor defecation. 6.Uterine fibroids in special areas such as cervical fibroids. Broad ligament fibroids and submucosal fibroids should be operated as soon as they are found. In addition, age is a very important factor that must be considered. The scar left on the uterus after myoma removal needs some time to recover, and it is generally recommended to use contraception for 1 year after surgery before pregnancy. 35 years old women will gradually reduce their fertility, so if a fibroid is found at this time, it is important to weigh the pros and cons and go to the hospital to listen to the doctor’s opinion.