Uterine leiomyoma account for one of the commonest Gynaecological visits especially among women of African and Asian origin. The symptoms varies from abnormal uterine bleeding to pelvic pressure and pain, abdominal swelling and bloating, urinary disturbances to difficulty in passing stool. An understanding of this common Gynaecological condition goes a long way in seeking for help and management. Through non international to interventional involving medical, surgical and endoscopic options including HIFU. Do well to avast yourself with the medical condition and the different management modalities.