Technologies, performances and maturity of ultrafast fiber lasers and fiber delivery of ultrafast pulses are discussed for the medical deployment of laser-wake-field acceleration (LWFA). The compact ultrafast fiber lasers produce intense laser pulses with flexible hollow-core fiber delivery to facilitate electron acceleration in the laser-stimulated wake field near treatment site, empowering endoscopic LWFA brachytherapy. With coherent beam combination of multiple fiber amplifiers, the advantages of ultrafast fiber lasers are further extended to bring in more capabilities in compact LWFA applications