Baekelandt J - Researchers, in this study, presented a new approach for performing a myomectomy via transvaginal natural-orifice transluminal endoscopic surgery (vNOTES) as an alternative to laparoscopic myomectomy. They observed that myoma types 0–2 could be resected hysteroscopically. Traditionally, resection of myoma types 3–7 was performed via laparotomy, laparoscopy, or transabdominal robotic surgery. vNOTES seemed a new less invasive approach for myoma types 3–7 resection and could provided better cosmetic results and improved patient comfort. This first IDEAL stage 1 study supported the feasibility of vNOTES myomectomy.