iarjimphIARJIMPHIARJIMPH2709-331X10.47310/iarjimph.2025.v06i01.001Public Knowledge and Attitudes Toward Uterine Fibroids and Surgical Interventions: A Cross-Sectional Study in KangraBackground: Uterine fibroids (leiomyomas) are among the most common benign tumors affecting women during their reproductive years. Despite their high prevalence, public understanding of fibroids and their treatment—especially surgical options—remains limited, particularly in rural and semi-urban areas. This study aimed to assess public knowledge and attitudes toward uterine fibroids and surgical interventions in Kangra district, Himachal Pradesh. Materials and Methods: A descriptive cross-sectional study was conducted from October to December 2024 among 400 adults in Kangra. Participants were selected through purposive and convenience sampling to ensure representation across age, gender, education and geography. A structured bilingual questionnaire was used to collect data on socio-demographics, fibroid-related knowledge and treatment perceptions. Data were gathered online, then analyzed using SPSS v26.0. Descriptive statistics and chi-square tests (p < 0.05) were applied. Results: Among 400 participants, 78.5% were female and 55% lived in rural areas. While 77.3% identified fibroids as non-cancerous growths and 73.3% were aware of ultrasound as a diagnostic tool, only 67.0% knew hysterectomy is not the only treatment option. Awareness of symptoms like heavy bleeding (71.5%) and treatment options like myomectomy (67.8%) was moderate. Encouragingly, 79.3% were open to surgery if needed and 80.5% supported routine screening. Overall, 39.0% had “Very Good” knowledge, 40.0% had “Good” knowledge, while 21.0% demonstrated “Fair” to “Poor” understanding. Conclusion: While general awareness of uterine fibroids in Kangra is promising, gaps persist in understanding treatment alternatives and overcoming surgical fear. Targeted education campaigns and accessible gynecological services are essential to foster informed choices and improve reproductive health outcomes in rural and underserved communities.