Ovarian cyst surgery (cystectomy) is a procedure where the surgeon removes a cyst (a fluid-filled sac) from the patient's ovary. This surgery aims to preserve as much healthy ovarian tissue as possible. The surgery is minimally invasive laparoscopic surgery, but in rare cases, an open operation or removal of the ovary (oophorectomy) might be performed.
Remember, the information below is solely for educational purposes and not a substitute for medical advice. Artemis Hospitals' experienced gynaecologist will tailor recommendations as per the patient's age, symptoms, and diagnostic test results.
Why is Ovarian Cyst Surgery Needed?
The patient is advised to seek ovarian cystectomy if they're at risk of fertility issues, severe infection, etc. Let's take a deep dive and learn when the doctor will advise you to undergo ovarian cyst surgery.
If the cyst is bigger than 5 to 7 cm, there is a less likely chance that it'll dissolve with medication and go away naturally. When the cysts are bigger in size, they can press on nearby organs and cause discomfort.
A larger cyst can cause many problems, such as pain, bloating, or discomfort during sex, which can be helped with ovarian cyst surgery. You get relief from these symptoms.
Complications related to the cyst
There is a possibility that the cyst might burst, and this can cause sudden pain and bleeding. And if the size of the cyst is big, there is a risk of the ovary twisting on its supporting tissues, and it would be a medical emergency.
Most ovarian cysts are not cancerous, especially in the case of a younger patient. But if the cyst looks unusual on the scans or if the patient is postmenopausal, doctors may want to remove it to check for cancer.
What are the Common Symptoms Leading to Ovarian Cystectomy?
The patient can identify the common symptoms that indicate the need for surgery to remove the cyst. And if they're unaware of the presence of a cyst, the same would be diagnosed in the physical examination or pelvic ultrasound. So what would be the signs that will take you to the doctor's appointment for the diagnosis or to seek treatment?
- Persistent or worsening lower-abdominal/pelvic pain
- Bloating, abdominal fullness or pressure
- Painful periods or pain during sex
- Frequent urination or constipation due to pressure on nearby organs
- Acute, sharp pain with nausea/vomiting (can indicate rupture or torsion—an emergency)
- Menstrual irregularities (Irregular Periods)
- Difficulty conceiving when the cyst is interfering with ovulation or pelvic anatomy
What are the Types of Surgeries Performed to Treat Ovarian Cysts?
The surgeon may advise different types of surgeries to treat ovarian cysts depending on the patient's condition and past medical records. Here are some common procedures performed to treat the ovarian cyst via surgery:
Laparoscopic Ovarian Cystectomy
Laparoscopy is a keyhole surgery in which 3–4 tiny incisions are made by the surgeon. A laparoscope is a rigid or semi-rigid telescope-like instrument, also with a camera and light, that is inserted through an incision. Now this thin instrument will peel the cyst from the ovary.
The benefits of this surgical procedure are less pain, smaller scars, shorter hospital stays, and faster recovery. Most functional cysts, dermoid cysts, and endometriomas can be treated this way.
Open Surgery (Laparotomy)
Laparotomy is advised for the patient in case the cyst is too big to treat via laparoscopy. In this, a larger incision is made by the surgeon in the lower abdomen.
This procedure is opted for in case of complex cases; with this, the surgeon gets a clear view of the cyst and its surrounding tissues. So they can remove the cyst carefully, securing the surrounding walls of the ovary.
The surgeon advises oophorectomy when the cyst has replaced most of the ovary, in post-menopausal women, or when malignancy is suspected/confirmed. The surgical procedure could be unilateral (one ovary removed) or bilateral (both).
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Who May Need Ovarian Cyst Surgery?
The patient has to pay attention to the common symptoms of ovarian cysts and consult with an expert gynaecologist to seek the right treatment for their condition. Here are the conditions that require immediate surgical attention for the ovarian cyst.
- Women with Large or Painful Cysts
- Cysts persisting beyond several menstrual cycles
- Cysts typically >5–10 cm, or any size, causing significant symptoms
- Cysts Causing Fertility Issues
- Endometriomas or cysts distorting the tubes/ovary or interfering with egg retrieval in IVF.
- Cysts suspected to be hormonally active or recurrent
- Suspicious or Cancerous Cysts
- Complex features on ultrasound/MRI
- Elevated or concerning tumour markers
- Post-menopausal complex cysts
How to Prepare for Ovarian Cyst Surgery?
Consult with the best gynaecologist after a pelvic exam, ultrasound and MRI; if needed, they'll tell you whether you qualify for surgery or not.
Proper blood tests, kidney/liver function, and tumour markers were done before confirming your surgery. You will be guided to stop any blood thinners or certain supplements.
Typically, it is advised to fast for 6–8 hours pre-anaesthesia. And do plan for the recovery at this stage, such as arranging a carer to accompany you home, comfortable clothing, etc.
Discuss ovarian-tissue preservation; the possibility is zero in case of bilateral oophorectomy and future fertility goals.
What Happens During an Ovarian Cystectomy Procedure?
The following steps take place during an ovarian cystectomy procedure:
- Anaesthesia: The patient is put under general anaesthesia so they sleep comfortably throughout the surgical process and don't feel any pain during the surgery.
- Access: The surgeon will make small incisions near the navel and lower abdomen (laparoscopy) or a lower abdominal incision (in case of an open surgery).
- Inspection: The surgeon examines the uterus, ovaries, tubes, and surrounding organs. This gives them a clear view of the cyst spread.
- Cyst removal: A careful incision on the ovary, with the cyst wall separated and removed intact whenever possible (often in a protective specimen bag).
- Ovary repair: The ovary is reconstructed with fine sutures to preserve function.
- Specimen analysis: A cyst was sent to pathology to confirm the diagnosis.
- Closure: Instruments removed, incisions closed with absorbable stitches or skin adhesive.
- Recovery room: Monitoring for a few hours; pain relief and anti-nausea medicines provided.
What is the Recovery Time After Ovarian Cyst Surgery?
The recovery time following ovarian cyst surgery changes based on the surgical approach used and the patient's condition. A minimally invasive laparoscopic procedure, involving small incisions, typically allows for a return to normal activities within 1-2 weeks, with most patients being discharged the same day as their operation.
In contrast, open abdominal surgery, or a laparotomy, requires a larger incision and involves a longer hospital stay of a few days, with a full recovery taking approximately 4-6 weeks. Patient-specific factors, such as the size and complexity of the cyst, overall health, and adherence to post-operative instructions, can also influence the recovery timeline.
Continue the follow-ups with the gynaecologist to understand the healing process better.
Get advanced ovarian cyst surgery (laparoscopic or open) in Gurgaon with experienced specialists
Why Choose Artemis Hospital for Ovarian Cyst Surgery?
Artemis Hospitals in Gurgaon has a team of experienced gynaecologists & minimally invasive surgeons. At the hospital, we have high volumes of laparoscopic cystectomies and complex pelvic surgery capacity.
Our specialists follow a fertility-conscious approach: ovary-sparing techniques wherever safe and coordination with fertility specialists if you’re planning pregnancy or IVF.
Artemis advanced operating theatres: 3D/4K laparoscopy, energy devices, and intra-op imaging support precise, tissue-preserving surgery.
We have Enhanced Recovery After Surgery (ERAS) pathways for faster recovery, less pain, early mobilisation and discharge. Our patient-centric support is available for clear counselling, transparent estimates, and coordinated pre- and post-operative follow-ups.
How to Book an Appointment for Ovarian Cyst Surgery in Gurgaon?
Visit the official Artemis Hospital website and use the Book Appointment option to choose a gynaecologist and a slot. Call on +91 9800400498, the hospital’s central appointment desk, to schedule a consultation for evaluation and surgery planning.
Or walk into the Artemis Hospital OPD registration counter in Gurgaon with your previous reports. Bring previous ultrasound/MRI reports, blood tests, a current medication list, and any allergy information for your consultation.
Reviewed By Dr. Nidhi Rajotia
Unit Head - Obstetrics and gynaecology (Obs & Gynae)
Artemis Hospitals
Frequently Asked Questions
Is every ovarian cyst surgical?
No. Many functional cysts resolve on their own. Surgery is considered for persistent, symptomatic, large, complex, or suspicious cysts.
Will surgery affect my ability to conceive?
Cystectomy aims to preserve the ovary. Most patients maintain fertility; discuss ovarian reserve and timing if you’re planning pregnancy.
Can cysts come back?
Yes, some types can recur—especially endometriomas. Hormonal management and endometriosis care plans can reduce recurrence.
When can I exercise again?
Gentle walking is encouraged within days. Core workouts and heavy lifting typically resume after your surgeon clears you—about 3–4 weeks after laparoscopy, longer after open surgery.
What are the possible side effects and risks?
There are a few short-term side effects of the surgery, such as mild to moderate pain, shoulder tip pain (from gas used in laparoscopy), bloating, fatigue, and temporary urinary or bowel changes.
In case of any risk, such as fever, heavy bleeding, worsening abdominal pain, persistent vomiting, redness/discharge from wounds, calf swelling, or breathlessness, seek urgent care.
Can ovarian cysts be treated without surgery?
Small, functional cysts often disappear on their own. Watchful waiting or hormonal birth control can also be options.
Can I get pregnant after ovarian cyst surgery?
Many women get pregnant after surgery. Removing cysts can improve fertility, but it depends on the cyst type and whether the ovaries were preserved.
Is ovarian cyst surgery dangerous?
Like all surgeries, it carries some risks, but it is generally safe, especially with the minimally invasive laparoscopic method.
What size of ovarian cyst requires surgery?
There is no single "magic number", but cysts over 5–10 cm, those that are persistent, or those causing significant symptoms may be candidates for surgery.
What size ovarian cyst is dangerous?
While any cyst can cause complications, cysts larger than 5 cm are considered a greater risk. Do get it checked via image testing and ultrasound for an exact estimation of your cyst size.
Is laparoscopic surgery better than open surgery for ovarian cysts?
Laparoscopy is often preferred because it is less invasive, with smaller incisions, faster recovery, and lower risk of complications compared to open surgery. But the need for the specific surgical treatment varies depending on the patient's condition.
How should I prepare for ovarian cyst surgery?
Preparation includes following the doctor's instructions for fasting, arranging transportation, discussing medications, and completing pre-operative tests.
How long do I need to stay in the hospital after ovarian cyst surgery?
Hospital stays range from same-day discharge for laparoscopic procedures to a few days for a laparotomy. Do consult with the specialist for a detailed overview of this.
Who is the best doctor for ovarian cyst surgery near me?
Finding the "best" doctor depends on individual needs; Artemis Hospitals has highly rated specialists and cystectomy doctors in the Gurgaon area that can help patients seek the right surgical treatment.
Which hospital offers advanced laparoscopic ovarian cyst surgery near me in Gurgaon?
Artemis Hospitals in Gurgaon are known for advanced laparoscopic and robotic-assisted surgeries. Contact us for more information on the surgical procedure and any other guidance related to it.
Does Artemis Hospital provide ovarian cyst open surgery?
Yes, Artemis Hospitals provides various surgical options, including open surgery, based on the patient's specific medical needs.
