This chapter discusses a decade of robotassisted laparoscopic myomectomy, where minimally invasive myomectomy offers superior clinical and reproductive outcomes compared to abdominal myomectomy. Wound protrusion is associated with the technique of single-layer closure that bunches up the deep and superficial tissue layers. A single study stands out as the exception to the broad evidence that points to a higher rate of adhesion following open myomectomy. Robot assistance is one of the demonstrated practical strategies to achieve the above goals, particularly in the hands of trained laparoscopic teams. Newly available robotic technology may eventually provide some imaging-independent advantage in the identification of smaller intramural tumors by reintroducing some degree of haptic feedback into robot-assisted laparoscopy. Some gynecologic surgeons can reliably offer LM without the assistance of the teleoperator. Women undergoing myomectomy are generally of reproductive age. MRI with and without gadolinium enhancement is an essential feature of the modern preoperative planning for myomectomy.