Background: This report details the conservative management of a patient with a large cervical fibroid tumor. Considering the patient's age, the treatment of choice would have been a hysterectomy or a uterine artery embolization (UAE); however, her lack of health insurance and her need to return to work promptly led to other options being explored. This is an in-depth case report of a large uterine fibroid tumor similar to a case study presented by Afifi, Tudor, and Nagrani in January 2010. Case: The patient was a gravida 3 para 3, 50-year-old, white female who presented with persistent vaginal bleeding. A transvaginal ultrasound, taken several months prior to surgical intervention, detected a fibroid tumor of 10×4×6.9 cm that was submucosal in origin aborting through the dilated cervix. Results: The patient underwent a vaginal myomectomy to remove the large fibroid tumor with minimal blood loss, enabling her to immediately return to work. Conclusions: In an age when millions of Americans are lacking health insurance, minimally invasive surgical gynecology offers a viable option with little convalescence thereafter. (J GYNECOL SURG 27:257)
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