Vargas MV, et al. - Researchers performed this retrospective cohort study of 11,709 myomectomies [4,673 (39.9%) minimally invasive, 6,997 (59.8%) abdominal, and 39 (0.3%) conversions] to investigate if operative time (ORT) is associated with perioperative morbidity and if there is an ORT at which minimally invasive myomectomy becomes inferior to laparotomy. They identified the predictive value of ORT for complications in both minimally invasive and abdominal myomectomies. Generally, superior 30-day outcomes were observed with minimally invasive procedures despite longer ORTs up to 270 minutes. They recommend prioritizing careful patient counseling and preparation to increase surgical efficiency for either approach.