Ovarian cyst is not a simple cyst. There are multiple cysts in the ovary. So the treatment depends on the type of the cyst. We have the simple cyst and the complex cyst. Simple cyst comes in the cycle many times and they disappear by itself. When we do routine scans, we find simple cysts like follicular cysts or retention cysts. They come and they disappear. We are more concerned about the complex cysts. Complex cysts can be benign or malignant. Benign means non-cancerous. The treatment depends on the age of the patient and the type of the cyst we see through the ultrasonography. We subject them to CT scan or do some blood tests when we are suspicious of certain malignancy or some other findings, we subject them to certain tests. Simple cysts, so many times they disappear by observation in a period of 3 – 6 months. When the cyst persists for more than 6 months, we do more investigations like proceed with scanning like CT scanning and some blood tests. In those cases, we subject them for a laparoscopy. Some cysts are present in the infertile group. So depending on the cyst and the duration of infertility, we subject the patient for a laparoscopy. Otherwise routinely for all the cases, we don’t need any laparoscopy or open procedure for the simple cyst.