What type of myomectomy can be done under regional anesthesia?

Essentially none.: Maybe one done for small fibroids in the uterine cavity, but all others require general anesthesia.

See below: With a cooperative surgeon and patient it should be relatively simple to do this procedure under regional anesthesia. This needs to be discussed with the surgeon before proceeding.

Regional anesthesia: can be done for a myomectomy if it is performed open, meaning an abdominal incision. If it is performed laparoscopically or robotically, then a general anesthetic is required.

Any type: Epidural or spinal is effective for lower abdominal sx.