The surgical principle for fibroadenoma of the breast primarily involves the removal of the fibroadenoma. The main methods of excision include traditional fibroadenoma removal and minimally invasive fibroadenoma excision surgery. The latter falls under the category of minimally invasive surgery and primarily utilizes vacuum-assisted excision equipment to remove the tumor under the guidance of breast ultrasound. This method is characterized by small incisions, quick recovery, and minimal post-surgical scarring, offering a higher degree of aesthetic satisfaction for patients. It is currently one of the commonly used surgical options. Fibroadenoma of the breast is a benign tumor composed of a mixture of glandular epithelium and fibrous tissue. Clinically, it primarily presents as a painless lump in the breast, though some patients may experience breast pain or nipple discharge. Diagnosis is confirmed through B-ultrasound, mammography, and pathological examination. In terms of treatment, follow-up observation is the main approach. For cases suspected of malignancy or those with particularly pronounced clinical symptoms, surgical intervention is recommended.