I often come across some women who are afraid of talking about “tumor” and find themselves suffering from uterine fibroids, and often ask their doctors nervously: Is this disease very serious? Is it necessary to have surgery? The most important thing is that you can find the best way to get the most out of your life. In fact, as one of the most common benign tumors, the incidence of uterine fibroids is very high, it is reported that about 20% of women over 35 years old suffer from this disease, of which, most fibroids are small and asymptomatic and do not need treatment at all, only follow-up observation can be done; those with mild symptoms, near menopausal age and general condition cannot tolerate surgery, can be given drug symptomatic treatment; and those who need surgical treatment are limited to a small percentage of The need for surgery is limited to a small percentage of patients. Which patients need surgery? Generally speaking, the indications for surgery for uterine fibroids are as follows: I. Symptomatic uterine fibroids: 1. Patients with high menstrual volume and long menstrual periods due to uterine fibroids, long-term menstrual blood loss can lead to secondary anemia and even anemic heart disease, and in severe cases, general weakness, pallor, shortness of breath, and panic. It is mostly seen in submucosal uterine fibroids and intermuscular fibroids. In this case, it should not be delayed at will, and surgery at the right time is recommended as an effective treatment, otherwise, it may be life-threatening. There is a patient with uterine fibroids in remote mountainous area, due to multiple uterine fibroids, long-term heavy menstrual flow and long duration, anemia is getting heavier and heavier, weakness, shortness of breath, panic, can no longer work, before coming to the clinic, the patient is heavily anemic appearance, hematocrit is only 40g/L, advised to be hospitalized, but the patient went home by himself, fainted at home when going to the toilet, the patient died. 2, myoma compression of pelvic organs with corresponding symptoms: such as compression of bladder with urinary urgency, frequent urination and even difficulty in urination; compression of rectum with rectal irritation symptoms and even difficulty in stool; low position of myoma or cervical myoma or broad ligament myoma, compression of ureter resulting in ureteral and renal pelvis effusion. The symptoms of pelvic organ compression are not necessarily accompanied by heavy and prolonged menstruation. Generally speaking, surgery should be considered for cervical leiomyoma, broad ligament leiomyoma, and submucosal leiomyoma as soon as they are detected. The chance of malignant transformation of fibroids is very small, generally below 1%. Mostly seen in older people with large and fast-growing fibroids, especially if the fibroids grow rapidly after menopause or reappear after menopause should be more alert. Therefore, although most fibroids shrink after menopause, they should not be taken completely lightly and should still be reviewed regularly some time. The subplasmalemma is often characterized by acute lower abdominal pain, and if surgery is not performed in a timely manner, the necrotic fibroids can become infected, and in severe cases, infective shock, intestinal adhesions and intestinal obstruction can also occur. Fertility caused by fibroids: Because fibroids in the horn of the uterus compress the entrance of the fallopian tube and prevent conception, in addition, patients with fibroids are often accompanied by ovarian dysfunction, leading to infertility. Fibroids distort the uterus and prevent the fertilization of eggs, and also affect the proliferation of the endometrium, which may cause miscarriage even if the embryo is laid because of the presence of fibroids. If a woman with fibroids is infertile and all other tests are normal, the cause of infertility may be fibroids. If fibroids are suspected to cause infertility, surgery should be performed in time. When uterine fibroids are not easily distinguished from ovarian tumors: Sometimes, when it is not clear whether it is a fibroid or an ovarian tumor from clinical symptoms, physical examination or auxiliary examinations such as ultrasound, surgery should be performed promptly. Sixth, some relative indications: single fibroid with diameter of 5 cm or more; uterus enlargement of the patient with fibroid exceeding the size of the uterus at 10 weeks of pregnancy. In this regard, I would like to advise patients not to talk about “tumor”, do not panic when you find fibroids, take appropriate measures under the guidance of your doctor, and operate in time when there are indications for surgery; in addition, I would like to give a warning to medical staff that they must grasp the indications for surgery for fibroids.