“Can you be awake for fibroid surgery?”

Most fibroids are removed under general anesthesia.

Maybe. I am assuming fibroid uterus? If the surgery is performed laparoscopically (which is common), then unlikely. If it is done via "open" incision, then maybe.

There is nothing to fear. A fibroid is a simple operation and it is very difficult to have it done while you are sedated.

You can be awake if you get a spinal or perhaps an epidural anesthetic. With spinal sand epidurals you need to wait around postop until they wear off. If your surgeon is planning laparoscopic surgery you have to have general. If the approach is vaginal you probably still need deep deep sedation which is general anesthesia without a secured airway. A lot depends on location , size ad extent of fibroids. Talk it over but I think your choices are GA or spinal. No need to be afraid of GA - unless you’re had specific complaints which can be addressed with your anesthesiologist ahead of time

You can choose a spinal or epidural anesthetic and remain awake. You then have to spend post op time waiting for them to wear off so you can walk out. Any gym surgery is prone to nausea so that exists for GA or spinal. Can certainly be addressed by anesthesiologist. Your fear of GA should be discussed with your anesthesiologist and the possibility of other than GA needs to be discussed between anesthesia and surgeon. Heavy sedation may be possible depending on how your surgeon feels. Heavy sedation may not take care of the surgical stimulation leaving you with an unprotected airway. GA , spinal and heavy sedation all have their set of risks so I would choose whatever gives the surgeon best operating conditions and keeps you safe

Theoretically speaking this could be performed under spinal anesthesia if it were an open procedure, but unless there is some compelling reason not to administer a general anesthetic, this will be performed under general anesthesia.