Introduction: Worldwide, uterine fibroid is the commonest gynaecological tumour in women. The standard treatment for symptomatic uterine fibroid is surgery. This is facilitated using anaesthesia, which could be general or Central neuraxial block (Regional anaesthesia, RA). In Nigeria, most women present late with huge fibroids which is a main determinant of the mode of anaesthesia. While general anaesthesia (GA) is more commonly used, it is not without challenges necessitating the increasing use of Regional anaesthesia (RA) which is thought to be more beneficial for the patient. This study seeks to audit the anaesthetic practice for fibroid surgeries over a five year period in our Institution, assess the role of RA and to generate awareness with a view to increasing its utilization for fibroid surgeries. Material and methods: The Nurses' and Doctors 'theatre records were reviewed for Socio demographics, type of anaesthesia, type of surgery and uterine size. Result: Summary of statistics was done using percentages, means and standard deviation. Categorical variables were compared using the Chi-square test. A P-value of <0.05 was considered statistically significant. Five hundred and twenty five (525) surgeries were performed for women with uterine fibroid with an age range of 20-65years.Two hundred and fifteen (215/41%) patients had GA, while 284 (54.1%) had RA. Twenty six patients (26.4.9%) had spinal anaesthesia that failed and had to be converted to GA. Conclusion: There was a yearly increase in the use of RA, and a yearly decline in the use of GA. Regional Anaesthesia is the more commonly used mode of anaesthesia for fibroid surgeries in our institution