Myomectomy has advanced from open to more mini­mally invasive laparoscopic and robotic approaches. The conventional open technique involves a transabdominal inci­sion, removal of the broids, and surgical repair of the uterus. Laparoscopic technique is associated with signicantly less pain, shorter hospital stay, and less febrile morbidity than open myomectomy [22]. The broid is morcellated (ground up) and removed through the port site; this can lead to an increased risk of the spread of unsuspected cancerous tis­sues. Both the laparoscopic and open techniques hold a <1% risk of uterine rupture during pregnancy [23]. The rst reported hysteroscopic myomectomy was performed in 1976 using a urologic resectoscope. With advances in instruments and techniques, the procedure was further rened and is cur­rently an option to treat intracavitary broids (submucosal or intramural) as they must be visualized from the endometrial canal [24]. Initial success rates range from 70% to 99% but with a high rate of recurrence. Fertility rates vary widely; on average 50% of women who undergo myomectomy are able to subsequently conceive [25].