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 numbers, size and location, they may cause heavy menstrual bleeding, pain or may be silent. Large fibroids (especially if growing rapidly) should be removed, as they may cause obstruction to the pelvic structures. Removal of fibroids can be done with laparoscopy (keyhole surgery) or conventional open surgery, depending on the size and number of fibroids. Some women who have completed their family or are near menopause may consider removal of the entire womb together with the fibroid, to prevent a recurrence. Smaller, stable fibroids not causing any symptoms may be left alone and monitored regularly.