Can we remove 23 cm myoma laparoscopicly ?? Is there any need to do that ?? A 30-year-old virgin case presented with severe menorrhagia, resulting in multiple previous hospital admissions for blood transfusions. Abdominal sonography revealed two large, adjacent, and adherent intramural leiomyomas, forming a mass of 23 cm (one 17 cm and one 6 cm). Given the patient's desire for future fertility and fear of social stigmatization associated with open surgery scarring, a minimally invasive approach