Fibroids are tumours originating from the muscle wall of the womb and are mostly benign in nature. Cancerous fibroids are very rare. They are very common in women and depending on their number, size and location, they may cause heavy menstrual bleeding, pain, urinary and bowel symptoms. Some fibroids may cause no symptoms at all. Large fibroids (especially if growing rapidly) should be removed, as they may cause obstruction pelvic structures such as the bladder, ureters, intestines. Removal of fibroids can be done with laparoscopy (keyhole surgery) or conventional open surgery. The mode of surgery depends on the size, number and location. Some women who have completed their family, are near or post-menopausal, may consider removal of the entire womb together with the fibroids, to prevent recurrence. Smaller, stable fibroids not causing any symptoms may be left alone and monitored regularly.