 Uterine fibroids are manageable through surgical or pharmacological approaches, and when medical management fails or surgery is requested, several surgical options exist, including minimally invasive surgery such as laparoscopy, robotic surgery, hysteroscopy, myomectomy, and minilaparotomy. The choice of approach depends on the features of the UFs and the surgeon's skill. This review aims to describe recent advances in minimally invasive techniques for myomectomy and compare them with the minilaparotomy approach. This article was authored by Alejandro Morinbuck, Erbil Karaman, Juan J. Mekwenko, and others.