Short answer

What is a myomectomy?

Myomectomy is the surgical removal of fibroids with preservation of the uterus. Unlike hysterectomy, the uterus stays in place — which makes it the first surgical option considered for patients planning pregnancy. It can be performed open, laparoscopically (keyhole) or hysteroscopically (through the uterus); the technique follows the fibroid’s location and number.

Although this site focuses on non-surgical treatment, myomectomy is the right choice for many patients, and this page gives it the balance it deserves. The aim is not to rank methods against each other but to clarify when each stands out.

When does myomectomy stand out?

For patients planning pregnancy whose fibroids affect fertility, myomectomy holds an established position in guidelines: the fibroid tissue is fully removed and the uterus repaired. Surgery can also be the right path when tissue diagnosis matters, and in certain location and size combinations.

Evidence
Guidelines position myomectomy as the established surgical option for suitable patients whose priority is fertility.

Source: 2021 · Obstetrics & Gynecology — klinik guideline2011 · NICE (İngiltere Ulusal Sağlık ve Bakım Mükem

Surgical approaches

Hysteroscopic myomectomy

For fibroids facing the uterine cavity (submucosal), performed through the uterus without abdominal incisions; day-case surgery in suitable patients.

Laparoscopic myomectomy

Performed through small abdominal incisions under camera guidance; for suitable fibroids, recovery is shorter than with open surgery.

Open myomectomy (laparotomy)

May be preferred for numerous, large or difficult fibroids; recovery takes longer than with the other approaches.

Recovery and things worth knowing

  • Recovery time varies with technique; hospital stay and return-to-work plans are set with your surgeon.
  • After surgery involving deep uterine incisions, future delivery mode (likelihood of caesarean) is discussed separately.
  • Myomectomy removes existing fibroids; new fibroids can still develop over time.
  • Like all surgery, it carries anaesthesia and operative risks, explained in detail before the procedure.

Surgery may not be the only path

If your symptoms fit a profile that does not require surgery — or you prefer to avoid it — uterus-preserving non-surgical options can be assessed. The right comparison is made over your own fibroids.

Which treatment for which fibroid? See the guide
Explore non-surgical options