The size of a fibroid that needs surgery depends on various factors such as the patients symptoms, age, and overall health. However, most experts believe that about 9-10 centimeters (about 4 inches) diameter is the largest size fibroid that should be removed laparoscopically. Here are some general guidelines for fibroid size and treatment:

• Small fibroids: less than 1 cm to 5 cm (.39 to 1.96 inches), the size of a seed to a cherry.
• Medium fibroids: range from 5 cm to 10 cm (1.96 to 3.93 inches), the size of a plum to an orange.
• Large fibroids: 10 cm (3.9 inches) or more, ranging from the size of a grapefruit and above.

For most patients, watchful waiting is the best approach, and not all fibroids need to be removed. However, if fibroids are larger than a 12- to 14-week pregnancy (about the size of a large grapefruit), the risk of complications during surgery, such as injury to the ureter or bladder, increases. If submucosal fibroids are found on the inside of the uterus and are large enough to misshape the uterine lining, they should be removed to prevent reproductive problems. Left untreated, very large fibroids can begin to degenerate or burst, even if they arent causing any symptoms.

Its important to note that the impact of a fibroids size on a persons health and symptoms may vary, and the term "large" can be somewhat subjective. Fibroids may begin to develop quickly, but then slow down and speed up at different intervals, particularly during times of increased hormones in the body like pregnancy. Therefore, its essential to consult a fibroid specialist to determine the most appropriate course of action based on individual circumstances.