Microinvasive cervical cancer is classified as a microscopic lesion in which the depth of invasion should not be greater than 5 mm from the base of the epithelium. Stage IA is further subdivided into two stages, stage IA1 and stage IA2. Women with microinvasive cervical cancer are usually asymptomatic, without subjective complaints. Symptoms, when they are present, are usually limited to intermenstrual or postcoital bleeding. The diagnosis of microinvasion can only be made by pathohistological analysis of the suspected lesion. The specimen required for pathohistological analysis is obtained by excisional biopsy. Excisional biopsies are procedures in which the obtained tissue samples represent parts of the cervical tissue in a conical shape, and include the lower part of the endocervical canal and part of the exocervix. Once the clinical stage of microinvasive cervical cancer is confirmed, the method of treatment may be decided, which should always be done as sparingly as possible. Since there is a small risk of lymph node metastases to the parametrial and uterosacral lymph nodes, stage IA1 lesions are treated with conization. Conization is the treatment of choice for young patients wishing to preserve their fertility. However, in women who have completed childbearing or in elderly women a hysterectomy type A is preferred. If there is invasion of the lymphovascular space in stage IA1 microinvasive cervical cancer, there is a significant risk of metastases in the lymph nodes and for this reason hysterectomy and pelvic lymphadenectomy are used as the first choice of treatment. In the treatment of stage IA2, it is most acceptable to perform a radical hysterectomy with pelvic lymphadenectomy. The most acceptable treatment of stage IA2 is to perform a radical hysterectomy with pelvic lymphadenectomy In patients under the 35 years old, in order to preserve fertility, trachelectomy with pelvic lymphadenectomy is performed. In general, microinvasive cervical cancer represents small lesions that usually have a good prognosis with a high five-year survival rate and a low risk of recurrence.