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An ovarian cyst should be removed if it is:

Suspected of being cancerous (the probability is lower if you're young)
Large (more than 2.5 inches in diameter)
Solid (rather than containing just fluid)
Causing pain

Possible Complications
Complications are rare, but no procedure is totally free of risk. If you are planning with an ovarian cyst removed, your physician will review a summary of possible complications, which may include:

Infection
Bleeding
Cyst returns after it is removed
Need for removal of one or both ovaries
Infertility
Blood clots
Damage with other organs

Factors that may increase the risk of complications include:

Obesity
Chronic or recent illness
Heavy use of alcohol , smoking , or utilization of narcotics (could make delivering anesthesia more difficult or impair wound healing)
Use of certain prescription medicines
Pregnancy
Previous abdominal surgery

Be sure to discuss these risks together with your doctor prior to the procedure.

What to Expect
Just before Procedure
Your physician may do the next:

Physical exam
Review of medicines
Blood tests
Urine test
CT scan -a type of x-ray that utilizes some type of computer to make pictures of organs
Ultrasound -a test that utilizes sound waves to look at the abdomen
Electrocardiogram (ECG, EKG)-a test that records the heart's activity by measuring electrical currents through the heart muscle

Talk to your doctor by what action ought to be taken if cancer is located during surgery. One choices to get rid of the ovary.

Leading up to the surgery:

Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week prior to the procedure, like:
Aspirin or another anti-inflammatory drugs
Blood thinners, such as warfarin (Coumadin)
Clopidogrel (Plavix)
Arrange for any ride to and from the hospital. Also, arrange for anyone to help you at home.
Do not eat or drink for at least eight hours prior to the surgery.

Anesthesia
General anesthesia -blocks pain and keeps you asleep with the surgery; given with an IV inside your hand or arm
Local anesthesia-just the area that is being operated on is numbed; given being an injection and may be also given with a sedative
Description of the Procedure
The doctor will make a small incision just below the navel. Next, the doctor will insert a laparoscope. This is a thin tube having a camera on the end. To permit a doctor to higher view the organs, co2 gas is going to be pumped to the abdomen. The laparoscope is going to be accustomed to locate the cyst. Once found, a doctor will make a couple of more incisions. Surgical tools will be inserted to get rid of the cyst. The doctor may remove tissue for testing. If cancer is located, both ovaries may need to be removed. Once the cysts are removed, the doctor will remove the tools. The incision area will be closed with stitches or staples.

In some instances, a doctor may change to an open surgery . He will create a large incision in the abdomen to complete the surgery.