Uterine artery embolization was first introduced in 1995. Today, 25,000 UAE's are performed each year. UAE is safe and effective, and considered a first-line treatment for symptomatic fibroids. However, most women with symptomatic fibroids are still only being offered hysterectomy based on old ideas about candidacy. We will review the current data and recommendations, and how these recommendations can be applied in your practice.