If a patient is diagnosed with fibroids or any benign tumors are detected, the physician may schedule a myomectomy to remove them. A myomectomy can be performed three different ways. The size, number and location of the fibroids will determine whether the patient needs an abdominal myomectomy, a laparoscopic myomectomy or a hysteroscopic myomectomy. All three surgeries are done while the patient is under general anesthesia.