The major aim of this research hyperthermia and magnetic resonance-high intensity focused ultrasound (MR-HIFU) focused on investigating the potential of aloe vera leaf extract-mediated gold-coated iron oxide nanohybrids (Au-IONPs) as a modern theragnostic material for the treatment of uterine myoma. To assess the cytotoxicity of Au-IONPs, induce hyperthermia, and apply radiotherapy to determine the level of apoptosis in the human ht-UtLM cells. Subsequently, it evaluated the cytotoxicity of the nanoparticles on human ht-UtLM cells by exposing the cells to various concentrations of Au-IONPs for a 4-hour incubation period. Based on the results, concentrations of 10 and 15 µg/mL were selected for further investigation. The MTT assay and flow cytometry results demonstrated that Au-IONPs significantly induce cell apoptosis. It allows the Au-IONPs to turn as an effective development mediator in the ablation of high-intensity focused ultrasound (HIFU) treatment. Finally, it could be suggested to developed material have excellent systemic toxicity, which promises well for treatment of uterine fibroids. HIGHLIGHTS Biosynthesis of gold – iron oxide nanohybrids (Au-IONPs) through a green approach. Physio-chemical properties of Au-IONPs have been characterized through various techniques. Investigating the anti-tumor effects of Au-IONPs in combination with thermo-radiotherapy for uterine myoma. Determine the level of apoptosis in the human myoma cells by inducing hyperthermia and radiotherapy. Observed the correlation behavior between the dose of the cell viability and Au-IONP nanoparticles. Au-IONPs had a significant impact on enhancing the effects of both hyperthermia and radiation therapies.