Uterine fibroids remain the most common cause of hysterectomy. Myomectomy is performed far less than hysterectomy despite what Victor Bonney stated in 1931: ‘Since cure without deformity or loss of function must ever be surgery’s highest ideal, the general proposition that myomectomy is a greater surgical achievement is incontestable’. In women seeking uterine conservation and improvement in reproductive outcomes, myomectomy remains the mainstay treatment of symptomatic leiomyomas. But other reasons exist: in a survey of 299 gynaecologists in the United Kingdom in 2017, 54% of respondents said that they would offer a myomectomy to a woman whose family is complete, but who wishes to retain her uterus because she feels a more ‘complete woman’ [1]. In this era where more women are delaying pregnancy till later in life, when fibroids are more symptomatic, it is imperative that surgeons embrace myomectomy and its newer techniques and alternatives.